Leonard S Bernstein, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19-16231 Issued in IL

Practice address

4035 Morsay Dr
Rockford, IL 61107-4871

Phone

(815) 398-1376

Fax

(815) 398-6399

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417096520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 MORSAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074871",
            "telephone_number": "815-398-1376",
            "fax_number": "815-398-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 MORSAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074871",
            "telephone_number": "815-398-1376",
            "fax_number": "815-398-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "LEONARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "19-16231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea M Bernard, APRN
• Jarred Bernard, D.P.T.
• Aileen Bernardo
• Benjamin Cordero Bernardo, DPT
• Rachel Bernicky, OTR/L
• Marc Bernstein, MD
• Stephen Bernsten, MD
• Kari Berth
• Stephanie L Bertram, APRN
• James Paul Bessey

• Periodontics in Rockford, IL
• Providers in Rockford, IL by specialty
• Periodontics in Illinois

• 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.

Verify at the official NPI Registry.