Individual provider Active NPI

Ronald L Uppleger Jr., DDS

  • Dentist
  • Southfield, MI
National Provider Identifier
1669455804
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12856 Issued in MI
Practice address
23077 Greenfield Rd
Suite 350
Southfield, MI 48075-3732
Phone
(248) 559-8818
Fax
(248) 559-6884
NPI assigned
Nov 22, 2005
Sex
Male
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 D12856 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Suite 350
Southfield, MI 48075-3732

Mailing address

23077 Greenfield Rd
Suite 350
Southfield, MI 48075-3732
Phone (248) 559-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160516000922 MI Order and Referring Only - DentistPractitioner - Dentist 5092004036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12856MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669455804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 350",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753732",
            "telephone_number": "248-559-8818",
            "fax_number": "248-559-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 350",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753732",
            "telephone_number": "248-559-8818",
            "fax_number": "248-559-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPLEGER",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "D12856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.