Organization Active NPI

Leroy Family Dental, PC

  • General Practice Dentistry
  • Sheridan, WY
National Provider Identifier
1740315639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1027 Issued in WY
Legal business name
LEROY FAMILY DENTAL, PC
Practice address
532 Val Vista St
Ste 101
Sheridan, WY 82801-3655
Phone
(307) 674-6444
Fax
(307) 673-5004
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dana K Leroy, D.D.S.NPI 1184721045
Title
President
Phone
(307) 674-6444

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 Dentistry 1223G0001X 1027 WY Primary

Addresses

Primary practice location

532 Val Vista St
Ste 101
Sheridan, WY 82801-3655

Mailing address

532 Val Vista St
Ste 101
Sheridan, WY 82801-3655
Phone (307) 674-6444

National Provider Directory

National Provider Directory

Locations

532 Val Vista St
Ste 101
Sheridan, WY 82801
Phone (307) 674-6444

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740315639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 VAL VISTA ST",
            "address_2": "STE 101",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013655",
            "telephone_number": "307-674-6444",
            "fax_number": "307-673-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 VAL VISTA ST",
            "address_2": "STE 101",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013655",
            "telephone_number": "307-674-6444",
            "fax_number": "307-673-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEROY FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEROY",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-674-6444",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.