Active NPI
Leonard Orthdontics, LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Andover, MA
National Provider Identifier
1629264304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- LEONARD ORTHDONTICS, LLC
- Practice address
- 797 Turnpike St
North Andover, MA 01845-6120 - Phone
- (978) 687-3500
- NPI assigned
- Sep 17, 2007
- Last updated
- Jan 21, 2020
- Organization subpart
- Yes
- Parent organization
- LEONARD ORTHODONTICS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Angelic Gangoy, DMD
- Title
- Owner/Orthodontist
- Phone
- (978) 687-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | MA | Primary |
Addresses
Primary practice location
797 Turnpike St
North Andover, MA 01845-6120
Mailing address
797 Turnpike St
North Andover, MA 01845-6120
Phone (978) 687-3500
National Provider Directory
National Provider Directory- Part of
- Leonard Orthdontics LLC
Locations
797 Turnpike St
North Andover, MA 01845
Phone (978) 687-3500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wakefield, MA
- NPI 1558572644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1629264304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456120",
"telephone_number": "978-687-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456120",
"telephone_number": "978-687-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD ORTHDONTICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEONARD ORTHODONTICS, LLC",
"enumeration_date": "2007-09-17",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "GANGOY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANGELIC",
"authorized_official_title_or_position": "OWNER/ORTHODONTIST",
"authorized_official_telephone_number": "978-687-3500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.