Alicia L Leblanc, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32335 Issued in TX

Practice address

5656 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4105

Phone

(817) 731-9487

Fax

(817) 731-2846

NPI assigned

Aug 25, 2016

Last updated

Sep 23, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• RMS DDS, PLLC

  • Dentist
  • Fort Worth, TX
  • NPI 1669019782
  NPD
• Country Day Dental

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1003186495
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1992251458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094224",
            "telephone_number": "832-247-0245",
            "fax_number": "817-731-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094105",
            "telephone_number": "817-731-9487",
            "fax_number": "817-731-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ALICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lean 3, LLC (Thinique Keller)
• Dana Jean Leatherwood, PMHNP
• Thomas A. Leavens, M.D.
• Courtney P Leazer, LCDC, LPC
• Christopher Leba, DO
• Danielle M. Leblanc, M.D.
• Lauren Leblanc, RN, ACNP
• Raymond Andrew Leblanc, M.D.
• Victoria Lynn Lebreton, LPC ASSOCIATE
• George Franklin Lebus V, M.D.

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.

Verify at the official NPI Registry.