Individual provider Active NPI

Kelly Kimiko Leong, DMD

  • Endodontics
  • San Francisco, CA
National Provider Identifier
1013329770
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DDS100461 Issued in CA
Practice address
2645 Ocean Ave Ste 203
San Francisco, CA 94132-1646
Phone
(707) 340-3886
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DDS100461 CA Primary

Addresses

Primary practice location

2645 Ocean Ave Ste 203
San Francisco, CA 94132-1646

Mailing address

2645 Ocean Ave Ste 203
San Francisco, CA 94132-1646
Phone (415) 741-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS100461CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly K. Leong, DMD, Inc. Endodontics CurrentSince Jun 8, 2025 Accepting new patients
Michaelian Endodontic Dental Group Inc Endodontics PastSince Jul 1, 2022 Accepting new patients

Locations

2645 Ocean Ave
Ste 203
San Francisco, CA 94132
Phone (415) 469-7777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1013329770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321646",
            "telephone_number": "415-741-3636",
            "fax_number": "415-766-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321646",
            "telephone_number": "707-340-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "KELLY",
        "middle_name": "KIMIKO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS100461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.