Caralyn K Leonard, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9812 Issued in GA

Practice address

10115 Crown Ridge Dr
Suite 100
Covington, GA 30014-8700

Phone

(770) 786-9339

Fax

(770) 786-8481

NPI assigned

Mar 30, 2007

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

Enrolled in GA

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790805174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 CROWN RIDGE DR",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148700",
            "telephone_number": "770-786-9339",
            "fax_number": "770-786-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 CROWN RIDGE DR",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148700",
            "telephone_number": "770-786-9339",
            "fax_number": "770-786-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "CARALYN",
        "middle_name": "K",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Lee
• Marketa Leemore
• Legacy Dental Solutions LLC
• Legendz Home Care LLC
• Jennifer Lemke, FNP
• Kim R Leverett, APRN, BC
• Elaine Y Lewis
• Latoya Lewis
• Paris Lewis
• Shantelle Yvonnette Lewis, BCBA

• General Practice Dentistry in Covington, GA
• Providers in Covington, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.