NATHAN D LEISKE DDS PC (NPI# 1578071817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578071817 |
| Entity Type | Organization |
| Organization Name | NATHAN D LEISKE DDS PC |
| Practice Address |
1504 Sioux Dr Marion IL 62959-5209 |
| Practice Telephone | 6189970127 |
| Mailing Telephone | 6189970127 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | NATHAN D LEISKE (OWNER) |
| Authorized Official Telephone | 6189970127 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019.030942 | IL | Ambulatory Health Care Facilities |
| Street Address |
1504 SIOUX DR |
| City | MARION |
| State | IL |
| Zip Code | 62959-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245383371 | Robert Joseph Main | Dentist | 1504 Sioux Dr, Marion, IL 62959-5209 | 2007-01-20 |
| 1265860233 | Sean Ericson | Dentist | 1504 Sioux Dr, Marion, IL 62959-5209 | 2013-10-29 |
| 1013204213 | Klara Palhegyi | Dentist | 1504 Sioux Dr, Marion, IL 62959-5209 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628423 | All Hands Dentistry Pllc | Clinic/Center | 140 Wareham Rd, Marion, MA 02738-1167 | 2020-01-10 |
| 1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
| 1568904878 | Kiddo Smiles Dental | Clinic/Center | 1132 Independence Ave, Marion, OH 43302-6318 | 2016-11-17 |
| 1154863637 | West Memphis Pediatric Dentistry | Clinic/Center | 303 Bancario Ste 11-12, Marion, AR 72364-2825 | 2016-11-15 |
| 1326490160 | Reusser and Reusser, LLC | Clinic/Center | 1015 Melvin St, Marion, KS 66861-1235 | 2016-07-05 |
| 1457716870 | Wayne Cook Dentisrty LLC | Clinic/Center | 303 Bancario Ste 7, Marion, AR 72364-2826 | 2015-12-30 |
| 1861874430 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 145 Palmetto Pointe Dr, Marion, SC 29571-6721 | 2015-06-19 |
| 1588979231 | Coastal Orthodontics, PC | Clinic/Center | 1 Rebecca Dr, Marion, MA 02738-1296 | 2010-08-18 |
| 1619521903 | Meng Tong Dds LLC | Clinic/Center | 1240 Crescent Heights Rd, Marion, OH 43302-6408 | 2019-07-25 |
| 1689238248 | Royal Oak Family Dentistry, Pllc | Clinic/Center | 937 N Main St, Marion, VA 24354-4117 | 2019-04-29 |
| Find all providers in MARION | ||||
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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.