Active NPI
Kelly Kimiko Leong, DMD
- Endodontics
- San Francisco, CA
National Provider Identifier
1013329770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS100461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS100461 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly K. Leong, DMD, Inc. | Endodontics | Current | Accepting new patients |
| Michaelian Endodontic Dental Group Inc | Endodontics | Past | 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.
-
- Endodontics
- San Francisco, CA
- NPI 1194619403
-
- Endodontics
- Daly City, CA
- NPI 1578012027
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.