Individual provider Active NPI

Ho-Yin Leung, D.D.S., M.S.

  • Periodontics
  • Chino, CA
National Provider Identifier
1053715698
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
63958 Issued in CA
Practice address
4531 Philadelphia St Ste B107
Chino, CA 91710-2249
Phone
(909) 902-9100
NPI assigned
Oct 10, 2014
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63958 CA
Periodontics 1223P0300X 63958 CA Primary

Addresses

Primary practice location

4531 Philadelphia St Ste B107
Chino, CA 91710-2249

Mailing address

1516 Stardust Dr
West Covina, CA 91790-4558
Phone (626) 641-0754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171221002301 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153689096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63958CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ho-Yin Leung DDS Inc Dentist CurrentSince Mar 9, 2020 Accepting new patients
Chen DMD & Leung DDS Dental Corporation Periodontics Current Accepting new patients

Locations

4531 Philadelphia St
Ste B107
Chino, CA 91710
Phone (909) 902-9100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1053715698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 STARDUST DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904558",
            "telephone_number": "626-641-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 PHILADELPHIA ST STE B107",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102249",
            "telephone_number": "909-902-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "HO-YIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63958",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "63958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.