Organization Active NPI

Morris de Leon DDS Inc

  • General Practice Dentistry
  • Baldwin Park, CA
National Provider Identifier
1053861070
Registry record updated Oct 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60332 Issued in CA
Legal business name
MORRIS DE LEON DDS INC
Doing business as
American Dental Care
Practice address
14311 Ramona Blvd
Baldwin Park, CA 91706-3242
Phone
(626) 960-9440
Fax
(626) 960-5772
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2016

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

Authorized official

Name
Dr. Morris De Leon, DDS
Title
President
Phone
(626) 488-0542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60332 CA Primary

Addresses

Primary practice location

14311 Ramona Blvd
Baldwin Park, CA 91706-3242

Mailing address

14311 Ramona Blvd
Baldwin Park, CA 91706-3242
Phone (626) 960-9440

Other identifiers 2

IdentifierTypeStateIssuer
1164713806OtherNPI INDIVIDUAL
60332OtherCADENTAL BOARD OF CALIFORNIA

Other names 1

  • American Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476489600000",
    "number": "1053861070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-960-9440",
            "fax_number": "626-960-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14311 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-960-9440",
            "fax_number": "626-960-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS DE LEON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-15",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-488-0542",
        "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": "60332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1164713806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "60332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; 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.