Individual provider Active NPI

Victoria Marie Deleon

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1063073914
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35296 Issued in TX
Practice address
5290 N a W Grimes Blvd Ste 400
Round Rock, TX 78665-3036
Phone
(512) 394-6255
NPI assigned
Jun 21, 2019
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35296 TX
General Practice Dentistry 1223G0001X 35296 TX Primary

Addresses

Primary practice location

5290 N a W Grimes Blvd Ste 400
Round Rock, TX 78665-3036

Mailing address

101 N Brookside Dr Apt 515
Dallas, TX 75214-4590
Phone (512) 507-1817

Other practice location 1

301 Tanger Dr Ste 225
Terrell, TX 75160-6654
Phone (972) 563-9444

Other practice location 2

315 N Galloway Ave Ste A
Mesquite, TX 75149-4363
Phone (972) 329-4200

Other practice location 3

100 Kings Fort Pkwy Ste 100
Kaufman, TX 75142-3544
Phone (972) 932-3918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35296TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Dentistry for Kids Terrell, PLLC Dentist Past Accepting new patients
Texas Braces PastSince Jun 27, 2021 Accepting new patients
Dental Ranch PLLC Dentist PastSince Nov 1, 2020 Accepting new patients
Texas Dentistry Dentist Past Accepting new patients
Texas Dentistry for Kids Mesquite, PLLC Dentist Past Accepting new patients

Organizations & group practices 5

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1063073914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BROOKSIDE DR APT 515",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144590",
            "telephone_number": "512-507-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 N A W GRIMES BLVD STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653036",
            "telephone_number": "512-394-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Tanger Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751606654",
            "country_code": "US",
            "telephone_number": "972-563-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N Galloway Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751494363",
            "country_code": "US",
            "telephone_number": "972-329-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kings Fort Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kaufman",
            "state": "TX",
            "postal_code": "751423544",
            "country_code": "US",
            "telephone_number": "972-932-3918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35296",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.