What is Corrie Leisen's NPI number?

Corrie Leisen's National Provider Identifier (NPI) is 1902087505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Corrie Leisen's specialty?

Corrie Leisen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Corrie Leisen located?

Corrie Leisen's practice location on file with NPPES is 3914 Princeton Dr, Santa Rosa, CA 95405-7014.

What is Corrie Leisen's phone number?

The practice phone number listed in the NPPES registry for Corrie Leisen is (707) 546-2129.

Is Corrie Leisen's NPI active?

Yes — Corrie Leisen's NPI (1902087505) is active in the NPPES registry as of the last update on 2007-11-25.

IndividualActive

Corrie Leisen, DDS

NPI 1902087505 · General Practice Dentistry · Santa Rosa, CA

Corrie Leisen, DDS is a General Practice Dentistry provider in Santa Rosa, CA (NPI 1902087505).

Provider details

NPI number: 1902087505
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 30919 (CA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 30919 (CA)
Dental Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

3914 Princeton Dr

Santa Rosa, CA 95405-7014

Phone: (707) 546-2129

Fax: (707) 546-2131

Street-level locationGet directions

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Mailing address