Individual provider Active NPI

Jennifer M McLeod, DMD

  • Dentist
  • Newberg, OR
National Provider Identifier
1740590900
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9515 Issued in OR
Practice address
615 E 2ND St
Newberg, OR 97132-3100
Phone
(503) 538-7717
NPI assigned
Oct 20, 2010
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9515 OR Primary

Addresses

Primary practice location

615 E 2ND St
Newberg, OR 97132-3100

Mailing address

615 E 2ND St
Newberg, OR 97132-3100
Phone (503) 538-7717

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
D9515ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer McLeod, DMD, PC CurrentSince Apr 28, 2024 Accepting new patients
Simpson Dental Care, PC PastSince Apr 19, 2020 Accepting new patients
Newberg Community Dental PastSince Apr 28, 2024 Accepting new patients
Appletree Dentistry LLC Dentist Past Accepting new patients

Locations

615 E 2nd St
Newberg, OR 97132
Phone (503) 538-7717

Organizations & group practices 4

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1740590900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 2ND ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323100",
            "telephone_number": "503-538-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 2ND ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323100",
            "telephone_number": "503-538-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.