Active NPI
Leslie N Stumpos, DDS
- General Practice Dentistry
- Lansing, MI
National Provider Identifier
1306906466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012851
- Practice address
- 3526 W Saginaw St
Lansing, MI 48917-2292 - Phone
- (517) 321-2539
- Fax
- (517) 321-3245
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012851 | MI | Primary |
Addresses
Primary practice location
3526 W Saginaw St
Lansing, MI 48917-2292
Mailing address
3526 W Saginaw St
Lansing, MI 48917-2292
Phone (517) 321-2539
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012851 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306906466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 W SAGINAW ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489172292",
"telephone_number": "517-321-2539",
"fax_number": "517-321-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 W SAGINAW ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489172292",
"telephone_number": "517-321-2539",
"fax_number": "517-321-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMPOS",
"first_name": "LESLIE",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "012851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.