Organization Active NPI

Thomas W. Leslie, D.D.S.

  • General Practice Dentistry
  • Berkeley Springs, WV
National Provider Identifier
1790186682
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2484 Issued in WV
Legal business name
THOMAS W. LESLIE, D.D.S.
Practice address
345 Concord Ave
Berkeley Springs, WV 25411-1235
Phone
(304) 258-2291
Fax
(304) 258-8188
NPI assigned
Sep 10, 2014
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Thomas Leslie, D.D.S.NPI 1952482945
Title
Owner/Dentist
Phone
(304) 258-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2484 WV Primary

Addresses

Primary practice location

345 Concord Ave
Berkeley Springs, WV 25411-1235

Mailing address

345 Concord Ave
Berkeley Springs, WV 25411-1235
Phone (304) 258-2291

Other identifiers 1

IdentifierTypeStateIssuer
0136367000MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1790186682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CONCORD AVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111235",
            "telephone_number": "304-258-2291",
            "fax_number": "304-258-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CONCORD AVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111235",
            "telephone_number": "304-258-2291",
            "fax_number": "304-258-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. LESLIE, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "304-258-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136367000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.