Individual provider Active NPI

Leigh-Ann Schuerman

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1245459924
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4699 Issued in AZ
Practice address
5855 W Utopia Rd
Glendale, AZ 85308-5251
Phone
(623) 806-7000
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4699 AZ Primary

Addresses

Primary practice location

5855 W Utopia Rd
Glendale, AZ 85308-5251

Mailing address

10827 S 51St St
Ste 201
Phoenix, AZ 85044-1742
Phone (480) 893-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 5, 2015 through Oct 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4699AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University Past Accepting new patients
Dental One, Inc. General Practice Past Accepting new patients
Midwestern University PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 3

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1245459924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10827 S 51ST ST",
            "address_2": "STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441742",
            "telephone_number": "480-893-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 W UTOPIA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085251",
            "telephone_number": "623-806-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUERMAN",
        "first_name": "LEIGH-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.