John Leo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16732 Issued in MI

Practice address

1982 Livernois Rd
Suite 201
Troy, MI 48083-1734

Phone

(248) 524-2828

Fax

(248) 524-9666

NPI assigned

May 21, 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 MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Family First Dental Care PC

  • General Practice Dentistry
  • Troy, MI
  • NPI 1407987787
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1174731087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 LIVERNOIS RD",
            "address_2": "SUITE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831734",
            "telephone_number": "248-524-2828",
            "fax_number": "248-524-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 LIVERNOIS RD",
            "address_2": "SUITE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831734",
            "telephone_number": "248-524-2828",
            "fax_number": "248-524-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "16732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Jeanne Lemoal
• Danielle Denise Lemons-Smith, LMT
• Samantha Sophia Lendzion, LLMSW
• Cienna Ann Lenz
• Leo R Murskyj MD PLC
• Leomar Health Group PC
• Johnetta Leonard
• Katerina Yana Leontyeva, NP
• Alexandra Lempert Lepsetz, LMSW
• Lequishia Alexander MD PLLC

• Dentist in Troy, MI
• Providers in Troy, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.