Active NPI
Brian Leong, DMD
- Dentist
- Dallas, TX
National Provider Identifier
1013396365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31913 | TX | MD | Clinical Psychologist |
| 058506 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1346851938
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.