Leslie A McDougall, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-016916 Issued in OH

Practice address

527 W Marion Rd
Mount Gilead, OH 43338-1257

Phone

(419) 949-5007

Fax

(419) 464-9355

NPI assigned

Nov 28, 2006

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

Other names 1

• Mrs. Leslie A. McManamon Other name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1780750810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W MARION RD",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381257",
            "telephone_number": "419-949-5007",
            "fax_number": "419-464-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W MARION RD",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381257",
            "telephone_number": "419-949-5007",
            "fax_number": "419-464-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-016916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MCMANAMON",
            "middle_name": "A.",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karolyn McCaslin
• McClelland Chiropractic LLC
• Brandon W McClelland, DC
• Rhonda R McCombs, MSW, LSW
• Kathy D McCown, OT
• Bobbie Jo McEldowney, CDCA, QMHS
• Michael Hall McGrady, LISW, LICDC
• Lynzie Nichole McKitrick
• Melissa K McRae, D.O.
• Gay Meads, MSW

• General Practice Dentistry in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.

Verify at the official NPI Registry.