Organization Active NPI

Dr Denis Leblang DPM PC

  • Podiatrist
  • Port Chester, NY
National Provider Identifier
1841282167
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002957 Issued in NY
Legal business name
DR DENIS LEBLANG DPM PC
Practice address
388 Westchester Ave
Port Chester, NY 10573-3650
Phone
(914) 939-4101
Fax
(914) 939-4164
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. Denis Leblang, DPM
Title
Owner/Podiatrist
Phone
(914) 939-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N002957 NY Primary

Addresses

Primary practice location

388 Westchester Ave
Port Chester, NY 10573-3650

Mailing address

388 Westchester Ave
Port Chester, NY 10573-3650
Phone (914) 939-4101

Other identifiers 2

IdentifierTypeStateIssuer
00497338MedicaidNY
1499432OtherNYGHI

National Provider Directory

National Provider Directory

Locations

388 Westchester Ave
Port Chester, NY 10573
Phone (914) 939-4101

3010 Westchester Ave
Ste 208
Purchase, NY 10577
Phone (787) 248-7777

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1841282167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 WESTCHESTER AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733650",
            "telephone_number": "914-939-4101",
            "fax_number": "914-939-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 WESTCHESTER AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733650",
            "telephone_number": "914-939-4101",
            "fax_number": "914-939-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENIS LEBLANG DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "LEBLANG",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "914-939-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00497338",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1499432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.