Leah Stetzel

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12013400A Issued in IN

Practice address

223 E Tillman Rd
Fort Wayne, IN 46816-1079

Phone

(260) 447-2568

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 and National Provider Directory roles.

• Children'S Clinics for Rehabilitative Services

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1063454346
  Medicare reassignment NPD
• Lindsay L. Don, DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tucson, AZ
  • NPI 1699280198
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1962019984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E TILLMAN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468161079",
            "telephone_number": "260-447-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E TILLMAN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468161079",
            "telephone_number": "260-447-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1167 Westwood Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Van Wert",
            "state": "OH",
            "postal_code": "458912488",
            "country_code": "US",
            "telephone_number": "260-447-2568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 N Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041651",
            "country_code": "US",
            "telephone_number": "260-447-2568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Paulding",
            "state": "OH",
            "postal_code": "458791107",
            "country_code": "US",
            "telephone_number": "260-447-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STETZEL",
        "first_name": "LEAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.004246",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.027896",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D011588",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12013400A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Elliott Steppey, PA-C
• Steppin Up Physical Therapy, Inc.
• Steppin Up Physical Therapy, Inc.
• Sterling Home Health Care, Inc.
• Heather Elizabeth Sterrett, OD
• Mark R Stetzel, D.D.S.
• Steven B Lee, DDS, PC
• Steven R. Rutan, O.D., Inc
• Jacqueline M. Stevens, NP
• James C Stevens, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.