Active NPI
Leute Leota, BDS
- General Practice Dentistry
- Pago Pago, AS
National Provider Identifier
1770045346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 209-A
- Practice address
- 96799 Turner Drive
Pago Pago, AS 96799-0010 - Phone
- (684) 633-1222
- Fax
- (684) 633-1256
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 209-A | AS | Primary |
Addresses
Primary practice location
96799 Turner Drive
Pago Pago, AS 96799-0010
Mailing address
PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222
Other names 1
- Leute Pio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125004615 | GU | Practitioner - Dentist | 2860845880 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-A | AS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Samoa Medical Center | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1770045346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX LBJ",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967990010",
"telephone_number": "684-633-1222",
"fax_number": "684-633-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96799 TURNER DRIVE",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967990010",
"telephone_number": "684-633-1222",
"fax_number": "684-633-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOTA",
"first_name": "LEUTE",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AS",
"license": "209-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEUTE",
"last_name": "PIO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pago Pago, AS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.