Paul Michael McLeod DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009809A Issued in IN

Legal business name

PAUL MICHAEL MCLEOD DDS, INC.

Practice address

919 E Jefferson Blvd
Suite LL02
South Bend, IN 46617-3112

Phone

(574) 233-7331

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Michael McLeod, DDSNPI 1962670208

Title

President

Phone

(574) 233-7331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael McLeod, DDS

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1962670208
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790909000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51427 MEGAN CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307832",
            "telephone_number": "574-277-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E JEFFERSON BLVD",
            "address_2": "SUITE LL02",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173112",
            "telephone_number": "574-233-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MICHAEL MCLEOD DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-233-7331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009809A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dnisha Jabree Patterson-Zona, RBT
• Dale Alan Patterson, M.D.
• Richard D Patterson, DC
• Shelby Patterson, FNP-C
• Paul B. Glass DDS PC
• William Edward Paul, DDS
• Yaquiris Paulino, RBT
• Matthew Pazderka
• Jessica Peachey, LMHC
• Michelle Lynn Pearson, M.D.

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.