John Orr Leitner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014348 Issued in MI

Practice address

575 Robbins Rd
Ste B
Grand Haven, MI 49417-2695

Phone

(616) 842-2850

Fax

(616) 842-7205

NPI assigned

Jun 27, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John O Leitner DDS

  • General Practice Dentistry
  • Grand Haven, MI
  • NPI 1427837996
  NPD Authorized official
• Harbor Lights Dental Care PLLC

  • Dental Clinic/Center
  • Grand Haven, MI
  • NPI 1265271720
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396741146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROBBINS RD",
            "address_2": "STE B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172695",
            "telephone_number": "616-842-2850",
            "fax_number": "616-842-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROBBINS RD",
            "address_2": "STE B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172695",
            "telephone_number": "616-842-2850",
            "fax_number": "616-842-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER",
        "first_name": "JOHN",
        "middle_name": "ORR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Latham, PHARM.D
• Launch Pediatric Rehab
• Avery Lautenschlaeger
• Denise R Leclaire, M.A., L.L.P.
• John Andrew Leenhouts, MD
• Tressa Lemerand
• Joy Ellen Lepo, AGPCNP-BC
• Jason Lepore
• Paul Leppanen, M.A., ED.S.
• Melissa Lynn Lewandowski, PT

• General Practice Dentistry in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.