Individual provider Active NPI

Leslie Ann Orzech, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Grand Blanc, MI
National Provider Identifier
1013110824
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2901020161 Issued in MI
Practice address
5090 E Hill Rd
Grand Blanc, MI 48439-7637
Phone
(810) 445-9970
Fax
(810) 445-9971
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901020161 MI
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2901020161 MI Primary

Addresses

Primary practice location

5090 E Hill Rd
Grand Blanc, MI 48439-7637

Mailing address

5090 E Hill Rd
Grand Blanc, MI 48439-7637
Phone (810) 445-9970

Other practice location 1

1176 1/2 S Lapeer Rd Ste B
Lapeer, MI 48446-3385
Phone (810) 667-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2022 through Nov 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen E Nechvatal DMD PC Oral and Maxillofacial Surgery PastSince Aug 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013110824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "586-755-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "810-445-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 1/2 S Lapeer Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463385",
            "country_code": "US",
            "telephone_number": "810-667-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORZECH",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020161",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.