Individual provider Active NPI

Leslie Robin Halpern, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
National Provider Identifier
1023009669
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10267883-9924 Issued in UT
Practice address
1005 DB Todd Jr Blvd
Meharry Medical College
Nashville, TN 37208-9142
Phone
(615) 327-6207
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 7445 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10267883-9924 UT Primary

Addresses

Primary practice location

1005 DB Todd Jr Blvd
Meharry Medical College
Nashville, TN 37208-9142

Mailing address

1005 DB Todd Jr Blvd
Meharry Medical College
Nashville, TN 37208-9142

Other identifiers 2

IdentifierTypeStateIssuer
V05611OtherMABCBS MA
019997OtherMATUFTS HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lhalpern241666@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170623001238 UT Practitioner - Oral Surgery 8022092923 Reassigns benefits to 2 organizations
I20220613002524 NY Practitioner - DentistPractitioner - Maxillofacial Surgery 8022092923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10267883-9924UTMDOral and Maxillofacial Surgery (Dentist)
7445TNMDOral & Maxillofacial Surgery (D.M.D.)
73775MAMDCardiovascular Disease Physician
19997MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Jan 30, 2025 Accepting new patients
University of Utah Dental Services Oral and Maxillofacial Surgery CurrentSince May 7, 2017 Accepting new patients
University of Utah Adult Services CurrentSince May 7, 2017 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Dental Services CurrentSince May 7, 2017 Accepting new patients
University of Utah Adult Services CurrentSince May 7, 2017 Accepting new patients
University of Utah Dental Services Current Accepting new patients
Oral Surgical Institute, P.C. Oral & Maxillofacial Surgery Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Oral Surgical Institute, P.C. Oral and Maxillofacial Surgery PastSince Apr 30, 2023 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lhalpern241666@direct.med.utah.edu

Organizations & group practices 10

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1023009669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DB TODD JR BLVD",
            "address_2": "MEHARRY MEDICAL COLLEGE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372089142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DB TODD JR BLVD",
            "address_2": "MEHARRY MEDICAL COLLEGE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372089142",
            "telephone_number": "615-327-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "LESLIE",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "DDS  MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "7445",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "10267883-9924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "V05611",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "019997",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhalpern241666@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.