Individual provider Active NPI

Ryan Patrick Lepore, DMD

  • General Practice Dentistry
  • Dunedin, FL
National Provider Identifier
1760821508
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN-20144 Issued in FL
Practice address
822 Milwaukee Ave
Dunedin, FL 34698-7031
Phone
(727) 608-4690
Fax
(727) 733-4568
NPI assigned
Jun 14, 2013
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20144 FL
General Practice Dentistry 1223G0001X DN-20144 FL Primary

Addresses

Primary practice location

822 Milwaukee Ave
Dunedin, FL 34698-7031

Mailing address

822 Milwaukee Ave
Dunedin, FL 34698-7031
Phone (727) 608-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150609001809 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1759602220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20144FLMDDentist
DN-20144FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1760821508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MILWAUKEE AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987031",
            "telephone_number": "727-608-4690",
            "fax_number": "727-733-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MILWAUKEE AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987031",
            "telephone_number": "727-608-4690",
            "fax_number": "727-733-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20144",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-20144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.