Leena Unnikrishnan Menon

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE6153351 Issued in WA

Practice address

Puget Sound Pediatric Dentistry
919 State Ave #104
Marysville, WA 98270

Phone

(360) 659-8100

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PSPD - Everett, PLLC

  • Pediatric Dentistry
  • Everett, WA
  • NPI 1659940468
  NPD (past)
• PSPD - Lake Stevens PLLC

  dba Puget Sound Pediatric Dentistry

  • Pediatric Dentistry
  • Lake Stevens, WA
  • NPI 1154675064
  NPD (past)
• PSPD - Marysville, PLLC

  dba Puget Sound Pediatric Dentistry

  • Pediatric Dentistry
  • Marysville, WA
  • NPI 1336427897
  NPD (past)
• PSPD - Monroe, PLLC

  dba Puget Sound Pediatric Dentistry

  • Pediatric Dentistry
  • Monroe, WA
  • NPI 1679898902
  NPD (past)
• PSPD - Stanwood, PLLC

  dba Puget Sound Pediatric Dentistry

  • Pediatric Dentistry
  • Stanwood, WA
  • NPI 1194188870
  NPD (past)
• Puget Sound Dental Professionals PLLC

  • General Practice Dentistry
  • Everett, WA
  • NPI 1609443407
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1053987701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 124TH AVE NE UNIT 202",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334646",
            "telephone_number": "425-362-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUGET SOUND PEDIATRIC DENTISTRY",
            "address_2": "919 STATE AVE #104",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-659-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "LEENA",
        "middle_name": "UNNIKRISHNAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE6153351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K McSwain, DPT
• Tim John McTee, ATC
• Gay Denise Mean, OTR/L
• Brianna Nichole Meier, CBT
• Marla Miriam Meislin, CDPT
• Kaleigh Jan Yeatman Mercado
• Larissa Anne Merwin, B.A.
• Leslie McIlhenny Meyers, ND
• Pallavi Mhaskar, DO
• Michael Giovine DMD PLLC

• Pediatric Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.