Active NPI
Alison Stephanie Leecock, DMD
- General Practice Dentistry
- Westfield, MA
National Provider Identifier
1659950236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1859389
- Practice address
- 79 Broad St
Westfield, MA 01085-2999 - Phone
- (413) 562-5494
- Fax
- (413) 568-5597
- NPI assigned
- Apr 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 1859389 | MA | Primary |
Addresses
Primary practice location
79 Broad St
Westfield, MA 01085-2999
Mailing address
2 Ridge Rd
Palmer, MA 01069-2259
Phone (413) 636-8612
Other practice location 1
714 Tiverton Ave
Los Angeles, CA 90095-8361
Phone (310) 825-9295
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 |
|---|---|---|---|
| 1859389 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan M. Kasperowski DMD LLC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Westfield, MA
- NPI 1467522011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1659950236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 RIDGE RD",
"city": "PALMER",
"state": "MA",
"postal_code": "010692259",
"telephone_number": "413-636-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 BROAD ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010852999",
"telephone_number": "413-562-5494",
"fax_number": "413-568-5597"
}
],
"practiceLocations": [
{
"address_1": "714 Tiverton Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958361",
"country_code": "US",
"telephone_number": "310-825-9295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEECOCK",
"first_name": "ALISON",
"middle_name": "STEPHANIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "1859389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.