Katherine A Leyes

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011134A Issued in IN

Practice address

3300 W College Ave
Appleton, WI 54914-3920

Phone

(920) 830-4100

NPI assigned

May 22, 2008

Last updated

Feb 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WI

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

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.

• Leyes Robers Dental LLC

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1205466737
  Authorized official Same address or phone
• Katherine Leyes D.D.S LTD

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1902131055
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1972760387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143920",
            "telephone_number": "920-830-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYES",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011134A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie JV Lewellyn, LCSW
• Kailagh Lewis, LPC
• Michelle D Lewis, MD
• Pamela R Lewis, NP
• Leyes Robers Dental LLC
• Lynn Lichterman
• David Albert Liebelt, M.D., PH.D.
• Shari K Liesch, APNP
• Life Counseling & Consulting, LLC
• Lifepath, LLC

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.