Individual provider Active NPI

Leanet Ascunce, DMD

  • Pediatric Dentistry
National Provider Identifier
1710130661
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN18365 Issued in FL
Practice address
Pediatric Dentistry of Fort Myers
8016 Summerlin Lakes Dr
Fort Myers, FL 33907
UM
Phone
(239) 482-2722
NPI assigned
Oct 23, 2008
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18365 FL
Pediatric Dentistry 1223P0221X DN18365 FL Primary

Addresses

Primary practice location

Pediatric Dentistry of Fort Myers
8016 Summerlin Lakes Dr
Fort Myers, FL 33907
UM

Mailing address

3942 Cherrybrook Loop
Fort Myers, FL 33966-7002
Phone (305) 951-9732

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

LicenseStateTypeSpecialty
DN18365FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Big Smiles PLLC Pediatric Dentistry Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1710130661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 CHERRYBROOK LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667002",
            "telephone_number": "305-951-9732"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "PEDIATRIC DENTISTRY OF FORT MYERS",
            "address_2": "8016 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-482-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCUNCE",
        "first_name": "LEANET",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18365",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.