Individual provider Active NPI

Erin Leppek, DDS

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1497365571
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600609 Issued in MI
Practice address
26206 W 12 Mile Rd Ste 303
Southfield, MI 48034-8501
Phone
(248) 356-8790
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901600609 MI Primary

Addresses

Primary practice location

26206 W 12 Mile Rd Ste 303
Southfield, MI 48034-8501

Mailing address

2194 S Shore CT
Rochester Hills, MI 48307-4326

Other practice location 1

28200 Orchard Lake Rd Ste 100
Farmington Hills, MI 48334-3761
Phone (248) 851-3030

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600609MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W Langberg, DDS, PC PastSince Sep 5, 2023 Accepting new patients
Metro Healthcare Imaging, PLLC Past Accepting new patients
Lakeview Family Dental - Southfield, PLLC General Practice PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1497365571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 S SHORE CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348501",
            "telephone_number": "248-356-8790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28200 Orchard Lake Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343761",
            "country_code": "US",
            "telephone_number": "248-851-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPPEK",
        "first_name": "ERIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.