Individual provider Active NPI

Leesa Jeffries, D.D.S

  • Pediatric Dentistry
  • Holyoke, MA
National Provider Identifier
1831506609
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN03848 Issued in RI
Practice address
230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone
(413) 420-2200
Fax
(413) 539-9472
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN03848 RI Primary
Dentist 122300000X DN1857147 MA

Addresses

Primary practice location

230 Maple St Ste 1
Holyoke, MA 01040-5140

Mailing address

230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone (413) 420-2200

Other practice location 1

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 519-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000752 RI Practitioner - Pediatric Dentistry 3971074147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Dentistry
Education
University of Tennessee HSC College of Dentistry, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1126 Hartford Ave
Johnston, RI 02919-7109

1126 Hartford Ave
Johnston, RI 02919-7130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857147MAMDDentist
DEN03848RIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Health Center Inc. PastSince Mar 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ljeffries19681@direct.ctc.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1831506609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "413-420-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "413-420-2200",
            "fax_number": "413-539-9472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029197109",
            "country_code": "US",
            "telephone_number": "401-519-1940",
            "fax_number": "401-351-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "LEESA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "DEN03848",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.