Individual provider Active NPI

Leah Ditsch Sebastian

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lexington, KY
National Provider Identifier
1992160766
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1043 Issued in KY
Practice address
University of Kentucky College of Dentistry
800 Rose Street, Room D104
Lexington, KY 40536-0297
Phone
(859) 323-9707
Fax
(859) 257-5859
NPI assigned
Dec 22, 2015
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1043 KY Primary

Addresses

Primary practice location

University of Kentucky College of Dentistry
800 Rose Street, Room D104
Lexington, KY 40536-0297

Mailing address

University of Kentucky College of Dentistry
800 Rose Street, Room D104
Lexington, KY 40536-0297
Phone (859) 323-9707

Other names 1

  • Dr. Leah Perry Ditsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240909002463 KY Practitioner - Dentist 5395285068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1043KYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jul 27, 2024 Accepting new patients
Sebastian Orthodontics PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
University of Kentucky CurrentSince Jul 27, 2024 Accepting new patients

Locations

2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-5831

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1992160766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "address_2": "800 ROSE STREET, ROOM D104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-9707",
            "fax_number": "859-257-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "address_2": "800 ROSE STREET, ROOM D104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-9707",
            "fax_number": "859-257-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "LEAH",
        "middle_name": "DITSCH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "DITSCH",
            "middle_name": "PERRY",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.