Individual provider Active NPI

Leeza Stein, DDS

  • General Practice Dentistry
  • Rockwall, TX
National Provider Identifier
1548807555
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35210 Issued in TX
Practice address
1300 E Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6514
Phone
(972) 771-2213
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 35210 TX Primary

Addresses

Primary practice location

1300 E Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6514

Mailing address

1300 E Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6514
Phone (972) 771-2213

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
35210TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Leeza Stein, DDS, PLLC General Practice CurrentSince Jun 30, 2024 Accepting new patients

Locations

1300 E Ralph Hall Pkwy
Ste 114
Rockwall, TX 75032
Phone (972) 771-2213

Organizations & group practices 1

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1548807555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E RALPH HALL PKWY STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326514",
            "telephone_number": "972-771-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E RALPH HALL PKWY STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326514",
            "telephone_number": "972-771-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "LEEZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-12-14",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.