Philip Joseph Leta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32215 Issued in NY

Practice address

7208 Buffalo Avenue
Niagara Falls, NY 14304

Phone

(716) 283-3314

Fax

(716) 283-8367

NPI assigned

Aug 25, 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

Enrolled in NY

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

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992812648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 COLLEGE AVENUE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14305",
            "telephone_number": "716-284-2085",
            "fax_number": "716-284-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 BUFFALO AVENUE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-283-3314",
            "fax_number": "716-283-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETA",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "32215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00609572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carli Leo
• John Lancelot Leonardo, M.D.
• Gabriele Joanna Leone, CASAC
• Matthew Lepine
• Maureen Lester, RDN
• Schawanna Leverette, LPN
• Levick Chiropractic
• Emily Claudia Lewicki
• Kimberly R Lewin, M.S. ED.
• Eddie Lewis

• Dentist in Niagara Falls, NY
• Providers in Niagara Falls, 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.
• 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.