Individual provider Active NPI

Brian Leong, DMD

  • Dentist
  • Dallas, TX
National Provider Identifier
1013396365
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31913 Issued in TX
Practice address
13655 Preston Rd
Dallas, TX 75240-4721
Phone
(347) 860-0087
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 058506 NY
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 31913 TX Primary

Addresses

Primary practice location

13655 Preston Rd
Dallas, TX 75240-4721

Mailing address

1523 W 4TH St
Brooklyn, NY 11204-4936
Phone (347) 860-0087

Other practice location 1

1523 W 4th St
Brooklyn, NY 11204-4936
Phone (347) 860-0087

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
31913TXMDClinical Psychologist
058506NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Emergency Dental Care PC General Practice Current Accepting new patients

Locations

3613 Hulen St
Ft Worth, TX 76107
Phone (267) 210-2725

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP

Organizations & group practices 1

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1013396365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 W 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044936",
            "telephone_number": "347-860-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404721",
            "telephone_number": "347-860-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112044936",
            "country_code": "US",
            "telephone_number": "347-860-0087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058506",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.