Leland F Porteous, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29131 Issued in CA

Practice address

9500 Crow Canyon Rd
Ste. a
Danville, CA 94506-1188

Phone

(925) 736-1661

Fax

(925) 648-7307

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 18, 2016 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043422504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BENT OAK PL",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945065823",
            "telephone_number": "925-736-1661",
            "fax_number": "925-648-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CROW CANYON RD",
            "address_2": "STE. A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061188",
            "telephone_number": "925-736-1661",
            "fax_number": "925-648-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEOUS",
        "first_name": "LELAND",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pontious Chiropractic Prof. Corp.
• Jess M Pontious, D.C.
• Pooja Malik,DDS,Inc.
• Garrett Curtis Porteous, D.D.S
• Lance Eric Porteous, DMD
• Positive Therapy Solutions for Speech-Language Pathology
• Jerome Potozkin, MD
• Bryant L Potts, M.S.
• Christy Elizabeth Potts
• Dana Power, LMFT

• General Practice Dentistry in Danville, CA
• Providers in Danville, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.