Active NPI
Laura Leon D.D.S., Inc.
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1063660868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45905
- Legal business name
- LAURA LEON D.D.S., INC.
- Practice address
- 314 W. Ball Rd.
Anaheim, CA 92805 - Phone
- (714) 774-4443
- Fax
- (714) 563-8276
- NPI assigned
- Sep 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Leon, D.D.S.
- Title
- Dentist
- Phone
- (714) 774-4443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45905 | CA | Primary |
Addresses
Primary practice location
314 W. Ball Rd.
Anaheim, CA 92805
Mailing address
314 W. Ball Rd.
Anaheim, CA 92805
Phone (714) 774-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114925690 | Other | CA | PREVIOUS NPI FOR SOLE PROPRIETOR |
National Provider Directory
National Provider DirectoryLocations
314 W Ball Rd
Anaheim, CA 92805
Phone (714) 774-4443
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1114925690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1063660868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W. BALL RD.",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92805",
"telephone_number": "714-774-4443",
"fax_number": "714-563-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W. BALL RD.",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92805",
"telephone_number": "714-774-4443",
"fax_number": "714-563-8276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA LEON D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "LEON",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "714-774-4443",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREVIOUS NPI FOR SOLE PROPRIETOR",
"identifier": "1114925690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.