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Deactivated NPI 1194859702 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen T Leidenheimer , DDS

Dentist - General Practice • Elyria, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Leidenheimer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 15, 2007
NPI Deactivation Date July 16, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Leidenheimer, DDS was a registered Dentist - General Practice practicing in Elyria, OH. Throughout an active medical career spanning 19 years, Dr. Leidenheimer provided care at the practice location at 42707 N RIDGE RD until profile deactivation on 2026-07-16.

Practice Location & Contact Primary Location

Practice Address

42707 N Ridge Rd

Elyria, OH 440351054

Telephone 4404440379
Fax 4406542778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
27 Specialists

Practicing in Elyria, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30020876

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1225440001

Doctor of Dental Surgery

Dr. Joseph Liszeski , DMD

Dentist - General Practice

NPI 1356475917

Doctor of Dental Medicine

NPI 1841274859

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 16, 2026

Record deactivated on July 16, 2026

NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 02, 2015

Registered at 42707 N RIDGE RD, ELYRIA, OH 440351054 (Tel: 4404440379)

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Updated Business Mailing Address June 02, 2015

Registered at 42707 N RIDGE RD, ELYRIA, OH 440351054 (Tel: 4404440379)

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Provider Name / Credentials Updated June 02, 2015

Recorded as STEPHEN LEIDENHEIMER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Dentist (License #30020876 in OH)

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Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194859702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: June 02, 2015
Deactivation Date: July 16, 2026

Mailing Address

42707 N Ridge Rd

Elyria, OH 440351054

Phone: 4404440379

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.