Leix Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEIX DENTAL PC

Practice address

8505 Redtail Drive
Suite J
Village of Lakewood, IL 60014

Phone

(815) 455-8186

Fax

(815) 455-8188

NPI assigned

May 14, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nirvana L Leix, DDSNPI 1043382633

Title

President

Phone

(815) 455-8186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nirvana L Leix, DDS

  • General Practice Dentistry
  • Village of Lakewood, IL
  • NPI 1043382633
  NPD (past) Authorized official

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1679740138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 REDTAIL DRIVE",
            "address_2": "SUITE J",
            "city": "VILLAGE OF LAKEWOOD",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-455-8186",
            "fax_number": "815-455-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 REDTAIL DRIVE",
            "address_2": "SUITE J",
            "city": "VILLAGE OF LAKEWOOD",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-455-8186",
            "fax_number": "815-455-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIX DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "LEIX",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-455-8186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laureen Michele Brotan, LCSW
• Sara R Butler, M.A. CCC SLP L
• Kayla Lynn Dalman
• Susan Lynn Kapustka, DPM
• Lasting Roots Pediatric Physical Therapy, PLLC
• Nirvana L Leix, DDS
• Victoria Grace Maurice
• Ashleigh Mauro, FNP-C
• Shannan McNamara, ED. S
• Mindful Growth Psychological Services LLC

• Dental Clinic/Center in Village of Lakewood, IL
• Providers in Village of Lakewood, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.