Leslie A Barrilleaux, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4489 Issued in AL

Practice address

412 E Willow St
Scottsboro, AL 35768

Phone

(256) 574-3993

Fax

(256) 574-3993

NPI assigned

Aug 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dentistry Today

  • General Practice Dentistry
  • Scottsboro, AL
  • NPI 1619229010
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1669664439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E WILLOW ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "35768",
            "telephone_number": "256-574-3993",
            "fax_number": "256-574-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E WILLOW ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "35768",
            "telephone_number": "256-574-3993",
            "fax_number": "256-574-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRILLEAUX",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralf Billman Ayers, P.A.
• Ronald J Baker, CRNP
• Amy Pedigo Ballard, FNP-BC
• Susan W Barnes, SPEECH PATHOLOGIST
• Laura Dianne Barrett, M.S.
• Dennis John Basila, M.D.
• Thomas Charles Bates
• Margaret K Belue, MD
• Kaitlyn A Bennett, NP
• Patrick Scott Berry, M.D.

• All providers in Scottsboro, AL
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.