NPIMap

Organization Active NPI

Evelyn T Campbell-Leach PC

  • General Practice Dentistry
  • Fort Washington, MD
National Provider Identifier
1770621302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09622 Issued in MD
Legal business name
EVELYN T CAMPBELL-LEACH PC
Practice address
9500 Livingston Rd
Fort Washington, MD 20744-4918
Phone
(301) 265-1650
Fax
(301) 248-6509
NPI assigned
Feb 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Evelyn Campbell-Leach, D.D.S.NPI 1538229992
Title
President
Phone
(301) 265-1650

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
General Practice Dentistry 1223G0001X 09622 MD Primary

Addresses

Primary practice location

9500 Livingston Rd
Fort Washington, MD 20744-4918

Mailing address

9500 Livingston Rd
Fort Washington, MD 20744-4918
Phone (301) 265-1650

National Provider Directory

National Provider Directory

Locations

9500 Livingston Rd
Fort Washington, MD 20744
Phone (301) 265-1650

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770621302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 LIVINGSTON RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444918",
            "telephone_number": "301-265-1650",
            "fax_number": "301-248-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 LIVINGSTON RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444918",
            "telephone_number": "301-265-1650",
            "fax_number": "301-248-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN T CAMPBELL-LEACH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL-LEACH",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-265-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "09622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.