Stephen Robert Leitgen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9940 Issued in MN

Practice address

7324 Bush Lake Dr
Bloomington, MN 55438-1682

Phone

(952) 303-3672

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sleitgen291061@direct.ochin.org

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1063553881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 BUSH LAKE DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381682",
            "telephone_number": "952-303-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 BUSH LAKE DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381682",
            "telephone_number": "952-303-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITGEN",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pajar Michelle Lee
• Samantha Jan Lee, DO
• Alice Catherine Lehman, MD
• Renee Jean Lehn, DDS
• Brenna Elizabeth Leintz
• Sherridan Leith
• Valerie Lemaine, M.D., M.P.H.
• Brooke Marie Lemay
• Michelle Lembeck
• Mikaela Diann Lengwin, DC, NREMT

• Dentist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.

Verify at the official NPI Registry.