Individual provider Active NPI

Dann Leonard, M.D.

  • Plastic Surgery Physician
  • Salem, OR
National Provider Identifier
1861429417
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17833 Issued in OR
Practice address
500 Liberty St SE
Ste 400
Salem, OR 97301-3890
Phone
(503) 391-2760
Fax
(503) 391-0287
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 17833 OR Primary

Addresses

Primary practice location

500 Liberty St SE
Ste 400
Salem, OR 97301-3890

Mailing address

500 Liberty St SE
Ste 400
Salem, OR 97301-3890
Phone (503) 391-2760

Other identifiers 5

IdentifierTypeStateIssuer
0262281OtherORCIGNA HEALTH PLANS
240003876OtherORRAILROAD MEDICARE
016416000OtherORBLUE CROSS/BLUE SHIELD OR
046081MedicaidOR
5648306OtherORAETNA HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17833ORMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dann K Leonard MD Plastic Surgery PastSince Jun 1, 1984 Accepting new patients
Arete Medical LLC Plastic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dann.leonard.p1@direct.leonardplasticsurg.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1861429417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LIBERTY ST SE",
            "address_2": "STE 400",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013890",
            "telephone_number": "503-391-2760",
            "fax_number": "503-391-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LIBERTY ST SE",
            "address_2": "STE 400",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013890",
            "telephone_number": "503-391-2760",
            "fax_number": "503-391-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "DANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "17833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "0262281",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240003876",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OR",
            "identifier": "016416000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046081",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "5648306",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.