Leo Polinkovsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

202552 Issued in CO

Practice address

511 Crossing Dr Ste 200
Lafayette, CO 80026

Phone

(303) 664-1001

NPI assigned

Jul 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leonid Polinkovsky Professional name

Medicare fee-for-service enrollment

Enrolled in NM

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

State licenses

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1942565817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262629",
            "telephone_number": "303-664-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "303-664-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Crossing Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "80026",
            "country_code": "US",
            "telephone_number": "303-664-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLINKOVSKY",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONID",
            "last_name": "POLINKOVSKY",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Plakos, ST
• Cheryann Pleasants, OTR
• Christine M Plude, RN
• Steven Pochron
• Sarah Pokorny, REGISTERED NURSE
• Brianna Poole, RD
• Gabrielle Alyse Popovich
• Christopher James Porter
• Portercare Adventist Health System (PRLF PC Lafayette)
• Jasmin Esmeralda Portillo

• General Practice Dentistry in Lafayette, CO
• Providers in Lafayette, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.