Individual provider Active NPI

Leonid Epshteyn, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nanuet, NY
National Provider Identifier
1114363736
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
058450 Issued in NY
Practice address
406 Market St
Nanuet, NY 10954-2744
Phone
(845) 367-4180
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02640300 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS041057 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 058450 NY Primary

Addresses

Primary practice location

406 Market St
Nanuet, NY 10954-2744

Mailing address

10 Blue Heron Rd
Nanuet, NY 10954-2435
Phone (718) 496-5687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02640300NJMDOrthodontics and Dentofacial Orthopedic Dentist
058450NYMDOrthodontics and Dentofacial Orthopedic Dentist
DS041057PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonid Epshteyn DMD PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Apr 6, 2025 Accepting new patients

Locations

406 Market St
Nanuet, NY 10954
Phone (845) 367-4180

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1114363736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLUE HERON RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542435",
            "telephone_number": "718-496-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MARKET ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542744",
            "telephone_number": "845-367-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSHTEYN",
        "first_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02640300",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS041057",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "058450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.