NPIMap

Organization Active NPI

Leslie J. Paris, D.D.S.,M.S.D.,P.C.

  • Periodontics
  • Fort Collins, CO
National Provider Identifier
1881794550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6999 Issued in CO
Legal business name
LESLIE J. PARIS, D.D.S.,M.S.D.,P.C.
Practice address
4033 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5937
Phone
(970) 207-4061
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leslie Jane Paris, D.D.S., M.S.D.NPI 1902179963
Title
Owner
Phone
(970) 207-4061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 6999 CO Primary

Addresses

Primary practice location

4033 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5937

Mailing address

4033 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5937
Phone (970) 207-4061

National Provider Directory

National Provider Directory

Locations

4033 Boardwalk Dr
Unit 100
Fort Collins, CO 80525
Phone (970) 207-4061

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881794550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 BOARDWALK DR UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255937",
            "telephone_number": "970-207-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 BOARDWALK DR UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255937",
            "telephone_number": "970-207-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE J. PARIS, D.D.S.,M.S.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-207-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "6999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.