Cornelius J. Leahey, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN02737 Issued in RI

Practice address

556 Armistice Blvd
Pawtucket, RI 02861-2630

Phone

(401) 475-9909

Fax

(401) 633-6116

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Miguel Roca Inc

  • Dentist
  • Pawtucket, RI
  • NPI 1518303577
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1831266543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612630",
            "telephone_number": "401-475-9909",
            "fax_number": "401-467-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612630",
            "telephone_number": "401-475-9909",
            "fax_number": "401-633-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHEY",
        "first_name": "CORNELIUS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02737",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN02737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Harriott Lavoie, LCSW
• Matthew J Lavoie, PA
• Matthew W Lawrence, DPM
• Gregory Lazan, MD
• Bruce Lazarus, MD
• Thomas C Leblanc, D.C.
• Denise L Leclaire, PT
• Richard Leclerc, LICSW
• Joshua Justice Lee, M.D.
• Laura Jean Lee, PTA

• Dentist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.