Active NPI
Leslie Anne Ehlen, D.D.S.
- General Practice Dentistry
- Clive, IA
National Provider Identifier
1639377369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08896
- Practice address
- 11088 Hickman Rd
Clive, IA 50325-3740 - Phone
- (515) 278-2253
- Fax
- (515) 278-2392
- NPI assigned
- Jul 3, 2007
- Last updated
- Jun 11, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08896 | IA | Primary |
Addresses
Primary practice location
11088 Hickman Rd
Clive, IA 50325-3740
Mailing address
11088 Hickman Rd
Clive, IA 50325-3740
Phone (515) 278-2253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08896 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Creek Dental LLC | Past | Accepting new patients | |
| Steffany L Mohan DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Plaza Dental Group
- Dental Clinic/Center
- West Des Moines, IA
- NPI 1386801108
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1639377369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11088 HICKMAN RD",
"city": "CLIVE",
"state": "IA",
"postal_code": "503253740",
"telephone_number": "515-278-2253",
"fax_number": "515-278-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11088 HICKMAN RD",
"city": "CLIVE",
"state": "IA",
"postal_code": "503253740",
"telephone_number": "515-278-2253",
"fax_number": "515-278-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLEN",
"first_name": "LESLIE",
"middle_name": "ANNE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.