Ronald Paul Leyder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012821 Issued in MI

Practice address

7166 S Croton Hardy Drive
Newaygo, MI 49337

Phone

(231) 652-1663

Fax

(231) 652-2259

NPI assigned

Jan 18, 2007

Last updated

Aug 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ronald P. Leyder, DDS

  • Dental Clinic/Center
  • Newaygo, MI
  • NPI 1881206597
  NPD Authorized official
• Dentistry by the Dam PLLC

  dba Dentistry By The Dam

  • Dental Clinic/Center
  • Newaygo, MI
  • NPI 1972391761
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1689726531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7166 S CROTON HARDY DRIVE",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "49337",
            "telephone_number": "231-652-1663",
            "fax_number": "231-652-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7166 S CROTON HARDY DRIVE",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "49337",
            "telephone_number": "231-652-1663",
            "fax_number": "231-652-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYDER",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5315073790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "2901012821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Klomp, LLMSW
• Michelle Jayme Kloss, DNP, APRN, AGNP-BC
• Tammi Dea Kolski, MS, LLP
• Cynthia Lee Kuikstra, RECOVERY COACH
• Michelle L. Lenz, M.D.
• Living Hope Physical Therapy, L.L.C.
• Annmarie Louise Loutzenhiser, LLMSW
• Jennifer Louzon
• Jackie Ann Malsom, LMSW
• Kylee McCracken

• General Practice Dentistry in Newaygo, MI
• Providers in Newaygo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.