Michael Van Leeuwen DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1380749922 Issued in UT

Legal business name

MICHAEL VAN LEEUWEN DMD PC

Practice address

6936 South 2475 East
Suite 201
Salt Lake City, UT 84121

Phone

(801) 943-1612

Fax

(801) 942-6008

NPI assigned

Nov 15, 2006

Last updated

Jan 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lee Van Leeuwen, DMDNPI 1396105425

Title

President Dentist

Phone

(801) 943-1612

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michael Lee Vanleeuwen, D.M.D.

  • Dentist
  • Salt Lake City, UT
  • NPI 1396105425
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1639242084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 SOUTH 2475 EAST",
            "address_2": "SUITE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-943-1612",
            "fax_number": "801-942-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 SOUTH 2475 EAST",
            "address_2": "SUITE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-943-1612",
            "fax_number": "801-942-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VAN LEEUWEN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "VAN LEEUWEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "801-943-1612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "1380749922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Buxton PHD
• Michael S Buxton PHD
• Michael S Kottler MD PC
• Michael S Peterson, OD, PC
• Michael Van Hook (Van Hook Therapy by Design)
• Clara Thompson Michael, MD
• John R. Michael, MD
• Zoe Cait Michael
• Melissa Carr Michaelis, S.S.W.
• Teri Nanette Michaelis, CSW

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.