Active NPI
Mark Leshin, MD
- General Practice Physician
- Dallas, TX
National Provider Identifier
1871592485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- E9768
- Practice address
- 3600 Gaston Ave
#1160
Dallas, TX 75246-1800 - Phone
- (214) 828-1276
- Fax
- (214) 828-0213
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | E9768 | TX | Primary |
Addresses
Primary practice location
3600 Gaston Ave
#1160
Dallas, TX 75246-1800
Mailing address
3600 Gaston Ave
Ste #1160
Dallas, TX 75246-1800
Phone (214) 828-1276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00DP97 | Other | TX | MEDICARE ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1871592485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "STE #1160",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-828-1276",
"fax_number": "214-828-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "#1160",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-828-1276",
"fax_number": "214-828-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHIN",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "E9768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00DP97",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.