DR. LEAH CHEYANN DIVITO D.D.S
NPI 1699056325
Dentist in Hudson, OH

Active since September 08, 2011Opted out of Medicare · through Nov 21, 2026
5655 HUDSON DR STE 100, HUDSON, OH 44236(234) 269-5288(234) 269-5289 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leah Cheyann Divito D.d.s NPPES

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

DR. LEAH CHEYANN DIVITO D.D.S (NPI 1699056325) is an individual dentist in Hudson, Ohio, licensed in Ohio (30-023728) and active in the NPI registry since September 2011. She has opted out of Medicare through November 21, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699056325
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LEAH CHEYANN DIVITOCredential: D.D.S
Location Address5655 HUDSON DR STE 100Hudson, OH 44236-4454
Mailing Address5655 Hudson Dr Ste 100Hudson, OH 44236-4454 · (234) 269-5288 · Fax (234) 269-5289
Fax(234) 269-5289
Sole ProprietorNo
Enumeration DateSeptember 8, 2011
Last NPPES UpdateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
NPI 1699056325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30-023728
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5655 HUDSON DR STE 100, Hudson, OH 44236

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Leah Cheyann Divito D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 21, 2016 through November 21, 2026.

Opt-Out Effective DateNovember 21, 2016
Opt-Out In Effect ThroughNovember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44236 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Clinic/Center (Dental)
5655 HUDSON DR STE 100
HUDSON, OH 44236

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 Leah Divito's NPI number?

The NPI number for Leah Divito is 1699056325. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Leah Divito located?

Leah Divito practices at 5655 Hudson Dr Ste 100, Hudson, OH 44236. The listed phone number is (234) 269-5288.

What is Leah Divito's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Leah Divito enrolled in Medicare?

No. Leah Divito has opted out of Medicare through November 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Leah Divito 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 Delta Dental of Ohio and 8 other insurers list Leah Divito 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 Leah Divito was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.