Claire Deshazer Leverton, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6191 Issued in AL

Practice address

2501 Stemley Bridge Rd.
Pell City, AL 35128

Phone

(205) 884-1691

Fax

(205) 338-6921

NPI assigned

Jun 24, 2015

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

Other names 1

• Elizabeth Claire Deshazer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 13, 2017 through Mar 13, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Dr. Robert Deshazer , D.M.D PC

  • General Practice Dentistry
  • Pell City, AL
  • NPI 1326556408
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1972985166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 STEMLEY BRIDGE RD.",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35128",
            "telephone_number": "205-884-1691",
            "fax_number": "205-338-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 STEMLEY BRIDGE RD.",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35128",
            "telephone_number": "205-884-1691",
            "fax_number": "205-338-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERTON",
        "first_name": "CLAIRE",
        "middle_name": "DESHAZER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DESHAZER",
            "middle_name": "CLAIRE",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• General Practice Dentistry in Pell City, AL
• Providers in Pell City, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.