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

NPI Status: Active since July 23, 2007

Contact Information

6936 SOUTH 2475 EAST
201
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 943-1612
Fax: (801) 942-6008

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  • Individual
  • Male
  • Dentist
  • General Practice
  • PECOS Enrolled

About ADAM VAN LEEUWEN

Adam Van Leeuwen is a provider established in Salt Lake City, Utah and his medical specialization is Dentist with a focus in general practice . The healthcare provider is registered in the NPI registry with number 1003016536 assigned on July 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 6610915 (UT). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1003016536
Provider Name
DR. ADAM RICHARD VAN LEEUWEN D.D.S.
Gender
Male
Entity Type
Individual
Location Address
6936 SOUTH 2475 EAST 201 SALT LAKE CITY, UT 84121
Location Phone
(801) 943-1612
Location Fax
(801) 942-6008
Mailing Address
6936 SOUTH 2475 EAST 201 SALT LAKE CITY, UT 84121
Mailing Phone
(801) 943-1612
Mailing Fax
(801) 942-6008
Is Sole Proprietor?
Yes
Enumeration Date
07-23-2007
Last Update Date
07-23-2007
Code Navigator

A dentist like Adam Van Leeuwen is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
6610915
License State
UT
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BEST Life

    • BEST Dental Advantage - Gold - PPO
    • BEST Dental Plus - Gold - PPO
    • BESTne Advantage Gold - Indemnity
    • BESTOne Advantage Gold - Indemnity
    • BESTOne Advantage Gold - PPO
  • Florida Combined Life

    • BlueDental Copayment Q - PPO
    • BlueDental Copayment QF - PPO
  • Guardian

    • Guardian Choice for Families and Individuals - PPO
    • Guardian Essentials for Families and Individuals - PPO
    • Guardian Preventive Plus for Families and Individuals - PPO
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
    • Humana Dental Smart Choice Basic - PPO
  • Paramount

    • Paramount Dental Essential Plus Plan - EPO
    • Paramount Dental Essential Plus Plan - PPO
    • Paramount Dental Preventive Family Plan - EPO
    • Paramount Dental Preventive Family Plan - PPO
    • Paramount Dental Total Care Plan - EPO
  • Paramount Dental

    • Paramount Dental Essential Plus Plan - HMO
    • Paramount Dental Preventive Family Plan - HMO
    • Paramount Dental Total Care Plan - HMO
  • Regence BlueCross BlueShield of Utah

    • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
    • Bronze HSA 7000 Deductible - EPO
    • Gold 2500 Deductible - EPO
    • Regence Standard Bronze 7500 Deductible - EPO
    • Regence Standard Gold 1500 Deductible - EPO
  • Renaissance Dental

    • Alabama Preferred Plan - PPO
    • Alabama Preferred Plan (Pediatric Only) - PPO
    • Alabama Preferred Plus Plan - PPO
    • Alabama Preferred Plus Plan (Pediatric Only) - PPO
    • Alabama Wellness Essentials Plan - PPO
  • Select Health

    • Med Expanded Bronze 8050 Deductible - HSA Qualified - HMO
    • Med Gold 1500 Medical Deductible - no deductible for office visits - HMO
    • Signature Gold 1500 Medical Deductible - no deductible for office visits - HMO
    • Value Expanded Bronze 6900 Medical Deductible - no deductible for office visits - HMO
    • Value Gold 1500 Medical Deductible - no deductible for office visits - HMO
  • UnitedHealthcare

    • Smile Now Arizona - No Waiting Period PPO - PPO
    • Smile Now Illinois - No Waiting Period PPO - PPO
    • Smile Now Michigan - No Waiting Period PPO - PPO
    • Smile Now Ohio - No Waiting Period PPO - PPO
    • Smile Now Texas- No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Adam Van Leeuwen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84121 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.74
  • Minimum New Patient Price $56.18
  • Maximum New Patient Price $171.82
  • Average New Patient Copayment $21.68
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.95

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.58
  • Minimum Established Patient Price $17.3
  • Maximum Established Patient Price $140.3
  • Average Established Patient Copayment $17.64
  • Minimum Established Patient Copayment $4.32
  • Maximum Established Patient Copayment $35.07

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ADAM RICHARD VAN LEEUWEN D.D.S.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003016536
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011256
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 5 + 6 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003016536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639242084MICHAEL VAN LEEUWEN DMD PC
Organization
Dentist (General Practice)6936 SOUTH 2475 EAST SUITE 201
SALT LAKE CITY, UT 84121
(801) 943-1612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003016536, enumerated in the NPI registry as an "individual" on July 23, 2007

The provider is located at 6936 South 2475 East 201 Salt Lake City, Ut 84121 and the phone number is (801) 943-1612

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: BEST Life, Florida Combined Life, Guardian,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $86.74 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $70.58 and an average copayment of 17.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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