Ronald P Leyder Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020376 Issued in MI

Practice address

837 Seminole Rd
Suite 100
Norton Shores, MI 49441-6734

Phone

(231) 780-4100

Fax

(231) 780-4101

NPI assigned

May 24, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Norton Shores Dental PC

  • General Practice Dentistry
  • Norton Shores, MI
  • NPI 1255719456
  NPD (past) Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1154614147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 LAKESHORE BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494413822",
            "telephone_number": "231-750-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 SEMINOLE RD",
            "address_2": "SUITE 100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416734",
            "telephone_number": "231-780-4100",
            "fax_number": "231-780-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYDER",
        "first_name": "RONALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean M Lawson, MD
• Jennifer J Layne-Roy
• John Michael Leclaire, M.D.
• Tina M Ledford
• William Deane Lengkeek, D.C.
• Angela Lynn Leyrer, NP
• Life Change
• Lilac Counseling Services
• Leah E Lillmars, PA
• Rebecca Lindgren

• Dentist in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.