COLUMBIA DENTAL CENTER LLC (NPI# 1356897433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356897433 |
| Entity Type | Organization |
| Organization Name | COLUMBIA DENTAL CENTER LLC |
| Practice Address |
915 N Main St St #2 Columbia IL 62236-1157 |
| Practice Telephone | 6182816161 |
| Mailing Telephone | 6182816161 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | DR. RICK LEPPO (OWNER) |
| Authorized Official Telephone | 6182816161 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019027680 | IL | Dental Providers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
019027680 | IL | Suppliers |
| Street Address |
915 N MAIN ST ST #2 |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750315065 | Kelly K Kerksick | Optometrist | 915 N Main St, Ste #1, Columbia, IL 62236-1136 | 2006-07-10 |
| 1235493198 | Rachel Margaret Foster | Optometrist | 915 N Main St, Suite 1, Columbia, IL 62236-1157 | 2012-06-26 |
| 1285779033 | Katharine Marie Mcginnis | Dentist | 915 N Main St, Suite 3, Columbia, IL 62236-1136 | 2007-02-20 |
| 1447349873 | Midwest Vision Care, LLC | Optometrist | 915 N Main St, Suite 1, Columbia, IL 62236-1136 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1316284854 | Robert Siekerka | Pharmacist | 1412 N Evergreen Ln, Columbia, IL 62236 | 2013-01-03 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1184704900 | Mitan Pediatric Therapy Inc | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217830 | Bennett Wholesale Distributors, LLC | Durable Medical Equipment & Medical Supplies | 300 Long Pointe Ln Ste 220-o, Columbia, SC 29229-7543 | 2019-07-16 |
| 1023578366 | Tylar Hallman | Durable Medical Equipment & Medical Supplies | 12290 Greenmedow Drive, 117, Columbia, MD 21042-1044 | 2019-03-22 |
| 1386152320 | David B Lee Dds Pa | Durable Medical Equipment & Medical Supplies | 9256 Bendix Rd Ste 202, Columbia, MD 21045-1848 | 2018-01-11 |
| 1710408836 | Freedom Mobility Center, Inc. | Durable Medical Equipment & Medical Supplies | 224 Oneil Ct Ste 23, Columbia, SC 29223-7649 | 2017-06-28 |
| 1891987897 | Rjs Sas Shoes Inc | Durable Medical Equipment & Medical Supplies | 3306 Forest Dr, Columbia, SC 29204-4024 | 2007-08-14 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| 1548300510 | W.t. Hinnant Artificial Limb Co | Durable Medical Equipment & Medical Supplies | 4455 Devine St, Columbia, SC 29205-3611 | 2007-02-07 |
| 1396803409 | Michael R. Tambling | Durable Medical Equipment & Medical Supplies | 1671 Lake Murray Blvd, Columbia, SC 29212-8626 | 2006-12-04 |
| 1154366268 | Praxair Healthcare Services, Inc | Durable Medical Equipment & Medical Supplies | 2202 Nelwood Dr, Columbia, MO 65202-2531 | 2006-06-20 |
| 1194796847 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3010 David Dr, Columbia, MO 65202-2685 | 2006-01-31 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.