Active NPI
Shannon Brandell Leahy, D.D.S.
- Dentist
- Apex, NC
National Provider Identifier
1861538852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7827
- Practice address
- 1500 Town Side Dr.
Ste. 105
Apex, NC 27502 - Phone
- (919) 363-4204
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7827 | NC | Primary |
Addresses
Primary practice location
1500 Town Side Dr.
Ste. 105
Apex, NC 27502
Mailing address
1729 White Dogwood Rd
Apex, NC 27502-9098
Phone (919) 362-4318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903125 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7827 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leahy and Associated DDS, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Apex, NC
- NPI 1265616601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861538852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 WHITE DOGWOOD RD",
"city": "APEX",
"state": "NC",
"postal_code": "275029098",
"telephone_number": "919-362-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 TOWN SIDE DR.",
"address_2": "STE. 105",
"city": "APEX",
"state": "NC",
"postal_code": "27502",
"telephone_number": "919-363-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAHY",
"first_name": "SHANNON",
"middle_name": "BRANDELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903125",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.