Organization Active NPI

Sheryl Leipold D.D.S. P.C.

  • Dentist
  • Homer Glen, IL
National Provider Identifier
1609881309
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-025665 Issued in IL
Legal business name
SHERYL LEIPOLD D.D.S. P.C.
Practice address
15927 S Bell Rd
Homer Glen, IL 60491-6707
Phone
(708) 645-0505
Fax
(708) 301-6066
NPI assigned
Jul 30, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Sheryl Leipold, D.D.S., P.C.NPI 1124251814
Title
Owner
Phone
(708) 645-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-025665 IL Primary

Addresses

Primary practice location

15927 S Bell Rd
Homer Glen, IL 60491-6707

Mailing address

15927 S Bell Rd
Homer Glen, IL 60491-6707
Phone (708) 645-0505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1609881309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15927 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-645-0505",
            "fax_number": "708-301-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15927 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-645-0505",
            "fax_number": "708-301-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL LEIPOLD D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "LEIPOLD",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-645-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.C."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.