Organization Active NPI

Leslie K Hernandez DMD PA

  • General Practice Dentistry
  • Lutz, FL
National Provider Identifier
1740348267
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LESLIE K HERNANDEZ DMD PA
Practice address
19125 US Highway 41 North
Lutz, FL 33549
Phone
(813) 949-4568
Fax
(813) 949-5012
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Leslie Kay Hernandez, DMD
Title
Dentist Owner
Phone
(813) 949-4568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

19125 US Highway 41 North
Lutz, FL 33549

Mailing address

19125 US Highway 41 North
Lutz, FL 33549
Phone (813) 949-4568

National Provider Directory

National Provider Directory

Locations

19125 N US Highway 41
Lutz, FL 33549
Phone (813) 949-4568

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1740348267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19125 US HIGHWAY 41 NORTH",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-949-4568",
            "fax_number": "813-949-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19125 US HIGHWAY 41 NORTH",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-949-4568",
            "fax_number": "813-949-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE K HERNANDEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "813-949-4568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

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