Active NPI
Daniel J Leonard IV, D.O.
- Pediatrics Physician
- Hastings, NE
National Provider Identifier
1801058243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 882
- Practice address
- 2115 N Kansas Ave
Hastings, NE 68901-2640 - Phone
- (402) 463-6828
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 882 | NE | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 882 | NE |
Addresses
Primary practice location
2115 N Kansas Ave
Hastings, NE 68901-2640
Mailing address
2115 N. Kansas Ave
Children & Adolescent Clinic P.C.
Hastings, NE 68901
Phone (402) 463-6828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470637178-13 | Medicaid | NE |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mary Lanning Memorial Hospital Association | Past | Accepting new patients | |
| Hastings Family Practice, P.C | Past | Accepting new patients |
Interoperability endpoints
- danny@caacclinic.directbygreenway.com
- dleonard180591@direct.nebraskamed.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Hastings, NE
- NPI 1356383756
-
- Rural Acute Care Hospital
- Hastings, NE
- NPI 1831203488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1801058243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 N. KANSAS AVE",
"address_2": "CHILDREN & ADOLESCENT CLINIC P.C.",
"city": "HASTINGS",
"state": "NE",
"postal_code": "68901",
"telephone_number": "402-463-6828",
"fax_number": "402-463-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 N KANSAS AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689012640",
"telephone_number": "402-463-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "882",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NE",
"license": "882",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470637178-13",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.