Active NPI
Thomas W. Leslie, D.D.S.
- General Practice Dentistry
- Berkeley Springs, WV
National Provider Identifier
1790186682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2484
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136367000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Berkeley Springs, WV
- NPI 1952482945
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.