DR. ADAM RICHARD VAN LEEUWEN D.D.S.
NPI 1003016536
Dentist - General Practice in Salt Lake City, UT

Q: What is Adam Van Leeuwen's NPI number?

The NPI number for Adam Van Leeuwen is 1003016536. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Q: What is Adam Van Leeuwen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Adam Van Leeuwen was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2007PECOS Enrolled

6936 SOUTH 2475 EAST, 201, SALT LAKE CITY, UT 84121(801) 943-1612(801) 942-6008 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Adam Richard Van Leeuwen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM RICHARD VAN LEEUWEN D.D.S. (NPI 1003016536) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (6610915) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003016536

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ADAM RICHARD VAN LEEUWENCredential: D.D.S.

Location Address6936 SOUTH 2475 EAST, 201Salt Lake City, UT 84121-5999

Mailing Address6936 South 2475 East, 201Salt Lake City, UT 84121-9999 · (801) 943-1612 · Fax (801) 942-6008

Phone(801) 943-1612

Fax(801) 942-6008

Sole ProprietorYes

Enumeration DateJuly 23, 2007

✔ NPI 1003016536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 6610915

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6936 SOUTH 2475 EAST, Salt Lake City, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Richard Van Leeuwen D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL VAN LEEUWEN DMD PC

Dentist (General Practice)

6936 SOUTH 2475 EAST, SUITE 201
SALT LAKE CITY, UT 84121

Salt Lake County (801) 943-1612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Van Leeuwen's NPI number?

The NPI number for Adam Van Leeuwen is 1003016536. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Adam Van Leeuwen located?

Adam Van Leeuwen practices at 6936 South 2475 East 201, Salt Lake City, UT 84121. The listed phone number is (801) 943-1612.

What is Adam Van Leeuwen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Adam Van Leeuwen enrolled in Medicare?

Yes. Adam Van Leeuwen is registered in the Medicare PECOS enrollment system.

What insurance does Adam Van Leeuwen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Adam Van Leeuwen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam Van Leeuwen was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.