Organization Active NPI

Danielle M. Leblanc, M.D., P.a.

  • Plastic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1740468404
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2086S0122X Issued in TX
Legal business name
DANIELLE M. LEBLANC, M.D., P.A.
Practice address
800 8TH Ave Ste 406
Fort Worth, TX 76104-2618
Phone
(817) 698-9990
Fax
(817) 698-9997
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Danielle Marie Leblanc, M.D.NPI 1669439790
Title
President
Phone
(817) 698-9990

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 2086S0122X TX Primary

Addresses

Primary practice location

800 8TH Ave Ste 406
Fort Worth, TX 76104-2618

Mailing address

800 8TH Ave Ste 406
Fort Worth, TX 76104-2618
Phone (817) 698-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000345 TX Part B Supplier - Clinic/Group Practice 7719911981 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1740468404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 406",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042618",
            "telephone_number": "817-698-9990",
            "fax_number": "817-698-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 406",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042618",
            "telephone_number": "817-698-9990",
            "fax_number": "817-698-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE M. LEBLANC, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-698-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "2086S0122X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.