Individual provider Active NPI

Robert Leipziger, D.D.S.

  • Dentist
  • Ballwin, MO
National Provider Identifier
1205825551
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12968 Issued in MO
Practice address
1338 Big Bend Square Shop Ctr
Ballwin, MO 63021-7618
Phone
(636) 225-3900
Fax
(636) 225-3945
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12968 MO Primary

Addresses

Primary practice location

1338 Big Bend Square Shop Ctr
Ballwin, MO 63021-7618

Mailing address

1338 Big Bend Square Shop Ctr
Ballwin, MO 63021-7618
Phone (636) 225-3900

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
12968MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Dental Professionals, Richard Straus, DMD, PC Past Accepting new patients

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205825551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 BIG BEND SQUARE SHOP CTR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217618",
            "telephone_number": "636-225-3900",
            "fax_number": "636-225-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 BIG BEND SQUARE SHOP CTR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217618",
            "telephone_number": "636-225-3900",
            "fax_number": "636-225-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIPZIGER",
        "first_name": "ROBERT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "12968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.