David Ross Leonoff, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0457381 Issued in NY

Practice address

469 Hawkins Ave
Lake Ronkonkoma, NY 11779-4276

Phone

(631) 588-8280

Fax

(631) 588-6258

NPI assigned

Nov 15, 2006

Sex

Male

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1063584910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-369-5300",
            "fax_number": "631-369-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280",
            "fax_number": "631-588-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONOFF",
        "first_name": "DAVID",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0457381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Phyllis Lampert
• Leaps and Bounds Consulting Services, Inc.
• Michael Lee, MD
• Kim H Leonard, M.A./CCC/SLP
• Terri Leonard, M.S.
• Julie M. Lewis
• Amanda Little, L.P.N.
• Melissa Lo Faso-Arcangel, REGISTERED NURSE
• Long Island Neuropsychology, P.C.
• Long Island, Queens Hearing Asso Inc

• Dentist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.