Active NPI
Christopher Leiszler, DDS
- Dentist
- Shawnee Mission, KS
National Provider Identifier
1619911161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60351
- Practice address
- 7450 Quivira Rd
Shawnee Mission, KS 66216-3526 - Phone
- (913) 248-8880
- Fax
- (913) 248-8155
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60351 | KS | Primary |
Addresses
Primary practice location
7450 Quivira Rd
Shawnee Mission, KS 66216-3526
Mailing address
555 W Benjamin Holt Dr
Building B
Stockton, CA 95207-3839
Phone (209) 476-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521002347 | KS | Order and Referring Only - Dentist | 4385964980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60351 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin City Dental LLC | Dentist | Current | Accepting new patients |
Locations
414 Ames St
Baldwin City, KS 66006
Phone (785) 594-9834
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619911161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W BENJAMIN HOLT DR",
"address_2": "BUILDING B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952073839",
"telephone_number": "209-476-4700",
"fax_number": "209-478-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 QUIVIRA RD",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662163526",
"telephone_number": "913-248-8880",
"fax_number": "913-248-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEISZLER",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.