Hannah Leezer DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HANNAH LEEZER DDS, LLC

Practice address

4715 Statesmen Dr Ste G
Indianapolis, IN 46250-1997

Phone

(317) 213-7439

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Hannah Elizabeth Groh, DDS

Title

Ceo

Phone

(317) 213-7439

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Elizabeth Leezer, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1063030856

  General Practice

  NPD

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1093695199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 STARCROSS LN APT 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462803018",
            "telephone_number": "317-213-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 STATESMEN DR STE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501997",
            "telephone_number": "317-213-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH LEEZER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GROH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-213-7439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarissa Hanna, MD
• Ellias Hanna
• Mariam Hanna
• Nasser H Hanna, MD
• Robin Alyse Hanna
• Ashley Elizabeth Hannah
• Ebony N Hannah, AGCNS-BC
• Joe M Hannah, M.D.
• Katie Marie Hannah
• Samantha Lonetta Rae Hannah, M.A. CCC-SLP

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.