Leon Valentin Siomka, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901013203 Issued in MI

Practice address

10407 E Grand River
Suite 700
Brighton, MI 48116

Phone

(810) 227-6995

Fax

(810) 227-9794

NPI assigned

Apr 27, 2006

Last updated

Aug 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shift Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brighton, MI
  • NPI 1881562635
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1255398780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 E GRAND RIVER",
            "address_2": "SUITE 700",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-227-6995",
            "fax_number": "810-227-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 E GRAND RIVER",
            "address_2": "SUITE 700",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-227-6995",
            "fax_number": "810-227-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIOMKA",
        "first_name": "LEON",
        "middle_name": "VALENTIN",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901013203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Simon, CCC-SLP
• Trudy Ann Simon, LMSW
• Peggy Simpson, LPC
• Regan Sindelar
• Khaled Sinjab, DDS, MS
• Sizewise Rentals LLC
• Sjmhs Anesthesia Services
• Sjmhs Anesthesia Services
• Sjmhs Livingston Orthopedic Surgical Group
• Stephan Skalnican, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Brighton, MI
• Providers in Brighton, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.