Individual provider Active NPI

Timothy Dale Leach, D.D.S.

  • Dentist
  • Denham Springs, LA
National Provider Identifier
1972713857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5806 Issued in LA
Practice address
277 E Railroad Ave
Denham Springs, LA 70726-3407
Phone
(225) 791-0777
Fax
(225) 791-0775
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5806 LA Primary

Addresses

Primary practice location

277 E Railroad Ave
Denham Springs, LA 70726-3407

Mailing address

30656 John Dr
Denham Springs, LA 70726-2125
Phone (225) 892-1102

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5806LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leach Family Dentistry CurrentSince Nov 13, 2022 Accepting new patients

Locations

277 E Railroad Ave
Denham Springs, LA 70726
Phone (225) 791-0777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972713857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30656 JOHN DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262125",
            "telephone_number": "225-892-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 E RAILROAD AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263407",
            "telephone_number": "225-791-0777",
            "fax_number": "225-791-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.