Active NPI
Ron A Lepianka, DDS
- Prosthodontics
- North Chicago, IL
National Provider Identifier
1912964461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2462-015
- Practice address
- 3001 Green Bay Road
North Chicago, IL 60064 - Phone
- (847) 688-1900
- Fax
- (224) 610-2909
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2462-015 | WI | Primary |
Addresses
Primary practice location
3001 Green Bay Road
North Chicago, IL 60064
Mailing address
7266 Presidential Dr
Gurnee, IL 60031-5302
Phone (847) 688-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130627000108 | IL | Order and Referring Only - Oral Surgery | 2163661927 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2462-015 | WI | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1912964461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7266 PRESIDENTIAL DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315302",
"telephone_number": "847-688-1900",
"fax_number": "224-610-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY ROAD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "847-688-1900",
"fax_number": "224-610-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPIANKA",
"first_name": "RON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WI",
"license": "2462-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.