Active NPI
Leslie A Wahl, D.D.S.
- Dentist
- Pittsburgh, PA
National Provider Identifier
1790898658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS027386L
- Practice address
- 4411 Stilley Rd
Suite 203
Pittsburgh, PA 15227-1369 - Phone
- (412) 884-8807
- Fax
- (412) 884-9134
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS027386L | PA | Primary |
Addresses
Primary practice location
4411 Stilley Rd
Suite 203
Pittsburgh, PA 15227-1369
Mailing address
357 Hazel Dr
Pittsburgh, PA 15228-2132
Phone (412) 561-1299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 781460 | Other | PA | UNITED CONCORDIA COMPANIE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027386L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental, P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Pittsburgh, PA
- NPI 1912010588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790898658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 HAZEL DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152282132",
"telephone_number": "412-561-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 STILLEY RD",
"address_2": "SUITE 203",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152271369",
"telephone_number": "412-884-8807",
"fax_number": "412-884-9134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHL",
"first_name": "LESLIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS027386L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA COMPANIE",
"identifier": "781460",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.