Organization Active NPI

Leipnitz Dental Clinic, SC

  • Dental Clinic/Center
  • Menomonie, WI
National Provider Identifier
1295922946
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5165-015 Issued in WI
Legal business name
LEIPNITZ DENTAL CLINIC, SC
Practice address
2521 Broadway St S
Menomonie, WI 54751-3914
Phone
(715) 235-7371
Fax
(715) 235-7380
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Todd Aleron Leipnitz, D.D.S.NPI 1063437929
Title
President/Owner
Phone
(715) 235-7371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5165-015 WI Primary

Addresses

Primary practice location

2521 Broadway St S
Menomonie, WI 54751-3914

Mailing address

2521 Broadway St S
Menomonie, WI 54751-3914
Phone (715) 235-7371

Other identifiers 1

IdentifierTypeStateIssuer
33757000MedicaidWI

National Provider Directory

National Provider Directory

Locations

2521 Broadway St S
Menomonie, WI 54751
Phone (715) 235-7371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1295922946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BROADWAY ST S",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513914",
            "telephone_number": "715-235-7371",
            "fax_number": "715-235-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 BROADWAY ST S",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513914",
            "telephone_number": "715-235-7371",
            "fax_number": "715-235-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIPNITZ DENTAL CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "LEIPNITZ",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALERON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "715-235-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5165-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33757000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.