Individual provider Active NPI

Toni-Ann McLeod

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1770228405
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11952 Issued in TN
Practice address
2953 Broad Ave
Memphis, TN 38112-2957
Phone
(901) 842-3160
NPI assigned
Apr 27, 2022
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11952 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2953 Broad Ave
Memphis, TN 38112-2957

Mailing address

225 Bobwhite Rd
Royal Palm Beach, FL 33411-1718
Phone (754) 265-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809000850 TN Practitioner - Dentist 5597127472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Jul 17, 2023 Accepting new patients
Christ Community Health Services Inc CurrentSince Jul 17, 2023 Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

2595 Central Ave
Memphis, TN 38104
Phone (901) 260-8500

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

Organizations & group practices 3

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1770228405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BOBWHITE RD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111718",
            "telephone_number": "754-265-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 BROAD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381122957",
            "telephone_number": "901-842-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "TONI-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11952",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.