Active NPI
Leonard Giordano Jr., DMD
- Dentist
- Brattleboro, VT
National Provider Identifier
1952821043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0130959
- Practice address
- 72 High St Ste 1
Brattleboro, VT 05301-6990 - Phone
- (802) 254-9644
- NPI assigned
- Jun 21, 2017
- Last updated
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0130959 | VT | Primary |
Addresses
Primary practice location
72 High St Ste 1
Brattleboro, VT 05301-6990
Mailing address
44 Longstreet Rd
Manalapan, NJ 07726-2835
Phone (732) 492-2440
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0130959 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Care, PLLC. | Dentist | Current | Accepting new patients |
Locations
72 High St
Ste 1
Brattleboro, VT 05301
Phone (802) 254-9644
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1952821043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 LONGSTREET RD",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077262835",
"telephone_number": "732-492-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 HIGH ST STE 1",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016990",
"telephone_number": "802-254-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIORDANO",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0130959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.