NPIMap

Individual provider Active NPI

Joseph H Leas, DPM

  • Podiatrist
  • Vancouver, WA
National Provider Identifier
1669408118
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000402 Issued in WA
Practice address
416 NE 87TH Ave
Ste #2
Vancouver, WA 98664-1930
Phone
(360) 256-1777
Fax
(360) 696-4287
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000402 WA Primary

Addresses

Primary practice location

416 NE 87TH Ave
Ste #2
Vancouver, WA 98664-1930

Mailing address

416 NE 87TH Ave
Ste #2
Vancouver, WA 98664-1930
Phone (360) 256-1777

Other identifiers 1

IdentifierTypeStateIssuer
1109289MedicaidWA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Anesthesia Services Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1669408118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NE 87TH AVE",
            "address_2": "STE #2",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641930",
            "telephone_number": "360-256-1777",
            "fax_number": "360-696-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NE 87TH AVE",
            "address_2": "STE #2",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641930",
            "telephone_number": "360-256-1777",
            "fax_number": "360-696-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAS",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109289",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.