NPIMap

Organization Active NPI

Leaha D Nels DDS PLLC

  • Dental Clinic/Center
  • Midwest City, OK
National Provider Identifier
1801311709
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6794 Issued in OK
Legal business name
LEAHA D NELS DDS PLLC
Practice address
101 N Douglas Blvd Ste T
Midwest City, OK 73130-3328
Phone
(405) 455-9057
NPI assigned
Aug 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Leaha Nels, DDSNPI 1821448242
Title
Owner
Phone
(405) 317-6471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6794 OK Primary

Addresses

Primary practice location

101 N Douglas Blvd Ste T
Midwest City, OK 73130-3328

Mailing address

101 N Douglas Blvd Ste T
Midwest City, OK 73130-3328
Phone (405) 455-9057

Other names 1

  • Magnolia Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801311709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N DOUGLAS BLVD STE T",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303328",
            "telephone_number": "405-455-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N DOUGLAS BLVD STE T",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303328",
            "telephone_number": "405-455-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAHA D NELS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "NELS",
        "authorized_official_first_name": "LEAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-317-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.