Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FREDERICK JAMES LEAVITT DDS
NPI 1912948456
Dentist - General Practice in South Haven, MI

Q: What is Frederick Leavitt's NPI number?

The NPI number for Frederick Leavitt is 1912948456. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Frederick Leavitt'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 Frederick Leavitt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 June 08, 2006

1088 S BAILEY AVE, SOUTH HAVEN, MI 49090(269) 637-1306(269) 637-8250 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Frederick James Leavitt Dds NPPES

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

DR. FREDERICK JAMES LEAVITT DDS (NPI 1912948456) is an individual general practice provider in South Haven, Michigan, licensed in Michigan (2901012134) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912948456

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. FREDERICK JAMES LEAVITTCredential: DDS

Location Address1088 S BAILEY AVESouth Haven, MI 49090-9728

Mailing Address1088 S Bailey AveSouth Haven, MI 49090-9728 · (269) 637-1306 · Fax (269) 637-8250

Phone(269) 637-1306

Fax(269) 637-8250

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1912948456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901012134

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.

1088 S BAILEY AVE, South Haven, MI 49090

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Other Providers at the Same Location NPPES 3

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

DR. JOHN A MANNIK O.D.

Optometrist

1088 S BAILEY AVE, SUITE B
SOUTH HAVEN, MI 49090

Van Buren County (269) 637-1442

SOUTH HAVEN EYECARE ASSOCIATES

Optometrist

1088 S BAILEY AVE, SUITE B
SOUTH HAVEN, MI 49090

Van Buren County (269) 637-1442

DR. ALICE MARIE BACAK O.D.

Optometrist

1088 S BAILEY AVE, SUITE B
SOUTH HAVEN, MI 49090

Van Buren County (269) 637-1442

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 Frederick Leavitt's NPI number?

The NPI number for Frederick Leavitt is 1912948456. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Frederick Leavitt located?

Frederick Leavitt practices at 1088 S Bailey Ave, South Haven, MI 49090. The listed phone number is (269) 637-1306.

What is Frederick Leavitt's specialty?

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

When was this NPI record last updated?

The NPPES record for Frederick Leavitt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.