DR. BRIAN K. LEACH (NPI# 1104038074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104038074 |
| Entity Type | Individual |
| Full Name | DR. BRIAN K. LEACH |
| Credential | D.D.S. |
| Practice Address |
25376 State Highway 39 Suite 201 Shell Knob MO 65747-7343 |
| Mailing Address |
25376 State Highway 39 Ste 201 P.o. Box 226 Shell Knob MO 65747-7900 |
| Practice Telephone | 4178586527 |
| Practice Fax Number | 4178582570 |
| Mailing Telephone | 4178586527 |
| Mailing Fax Number | 4178582570 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3452 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373564 | Brian Tyler Leach | Specialist/Technologist | 6120 Wanda Ave, Saint Louis, MO 63116-2225 | 2019-02-20 |
| 1528096831 | Brian Curtis Leach | Dermatology | 135 Rutledge Avenue, Dept of Dermatology & Dermatologic Surgery, Charleston, SC 29425 | 2006-06-28 |
| 1891321600 | Brian Clifford Leach | Pharmacist | 1215 E Superior St, Duluth, MN 55802-2218 | 2020-03-13 |
| Street Address |
25376 STATE HIGHWAY 39 SUITE 201 |
| City | SHELL KNOB |
| State | MO |
| Zip Code | 65747-7343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154334977 | Cynthia C Hughes | Family Medicine | 25376 State Highway 39, #301, Shell Knob, MO 65747-7343 | 2006-08-14 |
| 1215396635 | Cox-monett Hospital Inc | Family Medicine | 25376 State Highway 39, Suite 301, Shell Knob, MO 65747-7343 | 2016-02-12 |
| 1629468103 | Brian K. Leach Dds LLC | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2015-02-04 |
| 1235459447 | Brian K. Leach, D.d.s. | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2010-06-10 |
| 1003968058 | Randy King Miller | Family Medicine | 25376 State Highway 39, Ste 301, Shell Knob, MO 65747-7343 | 2007-01-18 |
| 1558430090 | Mercy Hospital Springfield | Home Health | 25376 State Highway 39, Suite 203, Shell Knob, MO 65747-7343 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639287600 | Kerry Duane Cox | Family Medicine | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-08-29 |
| 1518980986 | Shell Knob Pharmacy LLC | Pharmacy | 24875 State Hwy 39, Shell Knob, MO 65747 | 2006-07-25 |
| 1538334396 | Lester E. Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Ste 301, Shell Knob, MO 65747 | 2008-04-23 |
| 1750456281 | Regional Services | Clinic/Center | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-11-21 |
| 1144312497 | Lester E Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Suite 301, Shell Knob, MO 65747 | 2006-09-28 |
| 1265590053 | William R. Chism Od PC | Optometrist | Bridgeway Plaza, Shell Knob, MO 65747-0189 | 2006-12-05 |
| 1962499830 | Georgann Marie Greissinger | Nurse Practitioner | 25376 State Hwy 39, #301, Shell Knob, MO 65747-7343 | 2005-10-05 |
| 1962841585 | Cynthia Curatalo | Social Worker | 26419 Maple Dr, Shell Knob, MO 65747-7481 | 2013-06-17 |
| 1902178106 | Robert Eugene Mcdougle | Physical Therapy Assistant | 22865 Countyline Rd, Shell Knob, MO 65747-7503 | 2012-02-02 |
| 1174527873 | Patrick B. Harr | Family Medicine | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2005-06-09 |
| Find all providers in zip 65747 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629468103 | Brian K. Leach Dds LLC | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2015-02-04 |
| 1235459447 | Brian K. Leach, D.d.s. | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SHELL KNOB |
| Zip Code | 65747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.