{"npi":"1801006754","type":"NPI-1","status":"active","name":{"display":"Dr. Walter Leeks DMD","other":[],"first":"WALTER","last":"LEEKS","middle":"L","credential":"DMD"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"GA","license":"DN 13122"}]},"addresses":[{"purpose":"LOCATION","street_1":"4376 LAWRENCEVILLE RD","city":"LOGANVILLE","state":"GA","postal_code":"30052","country_code":"US","phone":"7704660363"},{"purpose":"MAILING","street_1":"4376 LAWRENCEVILLE RD","city":"LOGANVILLE","state":"GA","postal_code":"30052","country_code":"US","phone":"7704660363"}],"license":{"state":"GA","number":"DN 13122"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"19029327","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180618003475","type_code":"14-C5","type_desc":"PRACTITIONER - DENTIST","state":"GA","pac_id":"9436404365"}]},"enumeration_date":"2007-05-22","last_updated":"2016-12-13","_meta":{"source":"NPPES","snapshot_date":"2016-12-13","doc_url":"https://findmynpi.com/api"}}