IndividualActive
Peter Leichtnam
NPI 1164072187 · Clinic/Center · Coeur D Alene, ID
Provider details
- NPI number
- 1164072187
- Entity type
- Individual
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 83814-2660
Phone: (509) 994-2105
Street-level locationGet directions
Mailing address
1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 83814-2660
Additional practice locations (3)
- 1200 W Ironwood Dr Ste 309Coeur D Alene, ID 83814-2660Phone: (509) 994-2105
- 10905 E Montgomery Dr Ste 4Spokane Valley, WA 99206-6606Phone: (509) 994-2105Fax: (509) 892-6924
- 10905 E Montgomery Dr Ste 4Spokane Valley, WA 99206-6606Phone: (509) 994-2105Fax: (509) 892-6924
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2019-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.