Terry A Leslie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18980 Issued in TX

Practice address

7713 Sand St
Fort Worth, TX 76118-6928

Phone

(817) 589-7374

Fax

(817) 589-9037

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942377650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 SAND ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186928",
            "telephone_number": "817-589-7374",
            "fax_number": "817-589-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 SAND ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186928",
            "telephone_number": "817-589-7374",
            "fax_number": "817-589-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "TERRY",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Edwin Lesley, MD
• Leslie C. Hardick DO, PA
• Courtney M. Leslie, PA-C
• Katherine Marie Leslie, PNP
• London Elizabeth Leslie
• Bronson Lester, DC
• Judith L Lester, M.A. IN COUNSELING
• Kali Ann Lester, PA-C
• Lynn Andrea Lester, M.D.
• Tara Lester, DNP, CRNA

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.