Organization Active NPI

James Wayne Leonard, D.M.D., P.a.

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1982750261
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0014607 Issued in FL
Legal business name
JAMES WAYNE LEONARD, D.M.D., P.A.
Practice address
563 University Blvd N
Jacksonville, FL 32211-7035
Phone
(904) 724-7190
Fax
(904) 224-0027
NPI assigned
Jan 26, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. James Wayne Leonard Jr., DMD
Title
President
Phone
(904) 724-7190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0014607 FL Primary

Addresses

Primary practice location

563 University Blvd N
Jacksonville, FL 32211-7035

Mailing address

563 University Blvd N
Jacksonville, FL 32211-7035
Phone (904) 724-7190

Other names 1

  • J. Wayne Leonard, D.M.D., P.A. Other name

National Provider Directory

National Provider Directory

Locations

563 University Blvd N
Jacksonville, FL 32211
Phone (904) 724-7190

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1982750261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117035",
            "telephone_number": "904-724-7190",
            "fax_number": "904-224-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117035",
            "telephone_number": "904-724-7190",
            "fax_number": "904-224-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES WAYNE LEONARD, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-724-7190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Wayne Leonard, D.M.D., P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.