Gary Leeling DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21158 Issued in CA

Legal business name

GARY LEELING DDS, INC.

Practice address

616 N Garfield Ave
Suite # 404
Monterey Park, CA 91754-1141

Phone

(626) 280-4122

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Verdon Leeling, DDS

Title

President

Phone

(626) 280-4122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antranig Gary Kelleyan, D.D.S.

  • General Practice Dentistry
  • Monterey Park, CA
  • NPI 1568472991
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023159183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE",
            "address_2": "SUITE # 404",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541141",
            "telephone_number": "626-280-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE",
            "address_2": "SUITE # 404",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541141",
            "telephone_number": "626-280-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY LEELING DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEELING",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "VERDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-280-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.