Leah Mischelle Doll, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8526 Issued in CO

Practice address

1819 61St Ave
Suite 101
Greeley, CO 80634-7986

Phone

(970) 506-1339

Fax

(970) 339-8500

NPI assigned

Oct 14, 2005

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wild for a Smile

  • Pediatric Dentistry
  • Greeley, CO
  • NPI 1821162470
  NPD (past) Authorized official

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1780673541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 61ST AVE",
            "address_2": "SUITE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347986",
            "telephone_number": "970-506-1339",
            "fax_number": "970-339-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 61ST AVE",
            "address_2": "SUITE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347986",
            "telephone_number": "970-506-1339",
            "fax_number": "970-339-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "LEAH",
        "middle_name": "MISCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Dipierro
• Charmaine Doan, DMD
• Jason Dobson
• Jaycee Docheff, OTD, OTR/L
• Cary Dodson, LPCC
• Robert Alvaro Dominguez
• Sakora Dominguez
• Lynne Marie Donahue, D.P.T.
• Lin-Wang Dong, MD
• Scott Michael Donovan, RPH

• Pediatric Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.