Active NPI
Leslie Robin Halpern, DDS MD
- Oral and Maxillofacial Surgery (Dentist)
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10267883-9924
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V05611 | Other | MA | BCBS MA |
| 019997 | Other | MA | TUFTS HEALTH PLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10267883-9924 | UT | MD | Oral and Maxillofacial Surgery (Dentist) |
| 7445 | TN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 73775 | MA | MD | Cardiovascular Disease Physician |
| 19997 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| University of Utah Dental Services | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Dental Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | 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 | Past | 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
- 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.
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- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
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-
- Plastic and Reconstructive Surgery Physician
- Salt Lake City, UT
- NPI 1346633203
-
- Neurology Physician
- Salt Lake City, UT
- NPI 1295139095
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Dental Clinic/Center
- Salt Lake City, UT
- NPI 1821446279
-
- Oral and Maxillofacial Surgery (Dentist)
- South Jordan, UT
- NPI 1952794851
-
- Oral and Maxillofacial Surgery (Dentist)
- Nashville, TN
- NPI 1144298050
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Franklin, TN
- NPI 1740683143
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.