Brandon Dee Leavitt

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39501 Issued in TX

Practice address

606 S Colorado St
Lockhart, TX 78644-3102

Phone

(512) 362-6648

NPI assigned

May 9, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lockhart Dental, PLLC

  dba Family Smiles of Lockhart

  • General Practice Dentistry
  • Lockhart, TX
  • NPI 1114422664
  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1891485298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S COLORADO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786443102",
            "telephone_number": "512-362-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "BRANDON",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39501",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Wesley Kirtley, M.D.
• Rebecca Lauren Salsman Knowles, OTD, OTR/L
• Amanda Gail Ladd, PA-C
• Jill E Latonick-Flores
• Alma Ella Laurents, RPH
• Anice M. Lebeouf, D.C.
• Autumn Kelsey Lee, M.S., LPC, NCC
• Lighthouse Christian Home Care LLC
• Marty Litchfield, LMFT
• Gail G Livengood, D.D.S

• General Practice Dentistry in Lockhart, TX
• Providers in Lockhart, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.