Individual provider Active NPI

Gordon Francis Leden, DDS

  • Dentist
  • Oxford, NC
National Provider Identifier
1790858223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3845 Issued in NC
Practice address
1104 College St
Oxford, NC 27565-0189
Phone
(919) 693-4090
Fax
(919) 693-9255
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3845 NC Primary

Addresses

Primary practice location

1104 College St
Oxford, NC 27565-0189

Mailing address

PO Box 189
1104 College St
Oxford, NC 27565
Phone (919) 693-4090

Other identifiers 1

IdentifierTypeStateIssuer
8995191MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150611003428 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355652645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3845NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinics of Central Carolina, PC Past Accepting new patients
Shelley Barker Olson, DDS, PA Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790858223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "address_2": "1104 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-693-4090",
            "fax_number": "919-693-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650189",
            "telephone_number": "919-693-4090",
            "fax_number": "919-693-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDEN",
        "first_name": "GORDON",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.