Individual provider Active NPI

Christopher Leiszler, DDS

  • Dentist
  • Shawnee Mission, KS
National Provider Identifier
1619911161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60351 Issued in KS
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002347 KS Order and Referring Only - DentistPractitioner - Dentist 4385964980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60351KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin City Dental LLC Dentist CurrentSince Sep 29, 2024 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

Verify at the official NPI Registry.