Active NPI
Leah Ditsch Sebastian
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1043
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043 | KY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Sebastian Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| University of Kentucky | Current | 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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shelbyville, KY
- NPI 1356271571
-
dba University of Kentucky College of Dentistry
- Clinical Psychologist
- Lexington, KY
- NPI 1144699752
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.