Organization Active NPI

Leora H Sheily DDS PC

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1669096160
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEORA H SHEILY DDS PC
Practice address
4852 Melrose Ave
Los Angeles, CA 90029-3736
Phone
(323) 665-8168
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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

Authorized official

Name
Leora H Sheily, DDSNPI 1700372802
Title
Ceo
Phone
(310) 709-6695

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4852 Melrose Ave
Los Angeles, CA 90029-3736

Mailing address

1975 Mandeville Canyon Rd
Los Angeles, CA 90049-2224
Phone (310) 709-6695

Other practice location 1

13320 Riverside Dr Ste 204
Sherman Oaks, CA 91423-2512
Phone (818) 789-8892

National Provider Directory

National Provider Directory

Locations

4852 Melrose Ave
Los Angeles, CA 90029
Phone (323) 665-8168

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596931200000",
    "number": "1669096160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MANDEVILLE CANYON RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492224",
            "telephone_number": "310-709-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293736",
            "telephone_number": "323-665-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13320 Riverside Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914232512",
            "country_code": "US",
            "telephone_number": "818-789-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEORA H SHEILY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A",
        "authorized_official_last_name": "SHEILY",
        "authorized_official_first_name": "LEORA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-709-6695",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.