Jeremy Alan Leichtner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

NY024078 Issued in NY

Practice address

1158 Sibley Tower BLDG
Rochester, NY 14604

Phone

(585) 325-5645

Fax

(585) 232-9206

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982779930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 SIBLEY TOWER BLDG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-325-5645",
            "fax_number": "585-232-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 SIBLEY TOWER BLDG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-325-5645",
            "fax_number": "585-232-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTNER",
        "first_name": "JEREMY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "NY024078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00447801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandeep Lehil
• Emily Lehman
• Amber Joy Lehnhart, M.S. CCC-SLP/L
• Paul Lehoullier, M.D.
• Adrian M Leibovici, M.D.
• Merridith Leigh, NP
• Samantha Carmen Leistman, PHARMD
• Michael E. Leit, M.D., M.S.
• Ashley Lekich, PNP
• Nida Laimute Lelis

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• 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.