DR. LANCE E LESLIE III DMD, MPH
NPI 1346974581
Dentist in Chicago, IL

Q: What is Lance Leslie's NPI number?

The NPI number for Lance Leslie is 1346974581. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Lance Leslie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Lance Leslie was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2022PECOS Enrolled

641 W 63RD ST, CHICAGO, IL 60621(773) 388-1600 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2025, Oct 26, 2022, Sep 8, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Lance E Leslie Iii Dmd, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LANCE E LESLIE III DMD, MPH (NPI 1346974581) is an individual dentist in Chicago, Illinois, licensed in Ohio (30.027368) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346974581

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LANCE E LESLIE IIICredential: DMD, MPH

Location Address641 W 63RD STChicago, IL 60621-2032

Mailing Address641 W 63rd StChicago, IL 60621-2032 · (773) 388-1600

Phone(773) 388-1600

Sole ProprietorNo

Enumeration DateJuly 13, 2022

Last NPPES UpdateFebruary 6, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1346974581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OH · 30.027368✔ Licensed in IL · 019033899

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

641 W 63RD ST, Chicago, IL 60621

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Other Identifiers 1

Medicaid019033899IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lance E Leslie Iii Dmd, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIERA BRYANT

Nurse Practitioner (Women's Health)

641 W 63RD ST
CHICAGO, IL 60621

Cook County (773) 388-1600

CORETTA J PRUITT

Case Manager/Care Coordinator

641 W 63RD ST
CHICAGO, IL 60621

Cook County (224) 531-7966

ADAM KULA RN

Registered Nurse (Community Health)

641 W 63RD ST
CHICAGO, IL 60621

Cook County (773) 388-1600

CITY OF CHICAGO

Clinic/Center (Adult Mental Health)

641 W 63RD ST, L33
CHICAGO, IL 60621

Cook County (312) 747-7496

HOWARD BROWN HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))

641 W 63RD ST
CHICAGO, IL 60621

Cook County (773) 388-1600

JOANNE JONES LCSW

Social Worker (Clinical)

641 W 63RD ST, L33
CHICAGO, IL 60621

Cook County (312) 747-7496

WINNIE LIN

Pediatrics

641 W 63RD ST
CHICAGO, IL 60621

Cook County (312) 996-2000

JENINE LEE CHILES PSY.D.

Psychologist (Clinical)

641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621

Cook County (312) 745-0662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Leslie's NPI number?

The NPI number for Lance Leslie is 1346974581. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Lance Leslie located?

Lance Leslie practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (773) 388-1600.

What is Lance Leslie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lance Leslie enrolled in Medicare?

Yes. Lance Leslie is registered in the Medicare PECOS enrollment system.

What insurance does Lance Leslie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 9 other insurers list Lance Leslie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lance Leslie was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.