Frederic Neal Leavitt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12135 Issued in MI

Practice address

24887 Goddard Rd
Taylor, MI 48180-3930

Phone

(734) 946-8888

Fax

(734) 946-7650

NPI assigned

Mar 29, 2007

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

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

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962522482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481800757",
            "telephone_number": "734-946-8888",
            "fax_number": "734-946-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24887 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803930",
            "telephone_number": "734-946-8888",
            "fax_number": "734-946-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "FREDERIC",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rabia Latif, TLLP
• Sue Laveck, 5302022995
• Lawrence B. Richard, D.P.M., P.L.L.C.
• Lawrence M Fallat DPM PC
• Teresa Le
• Legacy Family Homes
• Wendy Katherine Lemere, CNP
• Allison Lennig, OTRL
• Cassandra Lentz, PTA
• Joy Lerner, MD

• General Practice Dentistry in Taylor, MI
• Providers in Taylor, 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 Jul 8, 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.

Verify at the official NPI Registry.