Individual provider Active NPI

Leanne C. Bylsma-Mulder, D.D.S.

  • Dentist
  • Sioux Center, IA
National Provider Identifier
1457304362
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7596 Issued in IA
Practice address
159 S Main Ave
Sioux Center, IA 51250-1535
Phone
(712) 722-2633
Fax
(712) 722-2638
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7596 IA Primary

Addresses

Primary practice location

159 S Main Ave
Sioux Center, IA 51250-1535

Mailing address

159 S Main Ave
Sioux Center, IA 51250-1535
Phone (712) 722-2633

Other identifiers 1

IdentifierTypeStateIssuer
0091488MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150605000932 IA Order and Referring Only - DentistPractitioner - Dentist 1557682390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7596IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457304362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-2633",
            "fax_number": "712-722-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-2633",
            "fax_number": "712-722-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLSMA-MULDER",
        "first_name": "LEANNE",
        "middle_name": "C.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "7596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091488",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

Verify at the official NPI Registry.