Jason A Lipoff, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8263 Issued in KY

Practice address

10510 Meeting St Unit 101
Prospect, KY 40059-5516

Phone

(847) 502-7574

Fax

(502) 230-2131

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1700839024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MEETING ST UNIT 101",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400595516",
            "telephone_number": "847-502-7574",
            "fax_number": "502-230-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 MEETING ST UNIT 101",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400595516",
            "telephone_number": "847-502-7574",
            "fax_number": "502-230-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPOFF",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18772",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19026157",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "8263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Eye Centers PLLC
• Carlee Lehna, PHD, APRN
• Christi L Leonard, MA. ED.
• Olivia Bloemker Leonard, PT, DPT
• Tyler Scott Lindsey, CCC-SLP
• Kendall Marie Liter
• Kross Locke, DPT
• Nitisha Malhotra, FNP
• Julie Mangeot
• Elise Markham, M.A.,CADC, BCIAC

• Pediatric Dentistry in Prospect, KY
• Providers in Prospect, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.