Individual provider Active NPI

Anthony Leite, DDS

  • General Practice Dentistry
  • Mill Valley, CA
National Provider Identifier
1063728392
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59564 Issued in CA
Practice address
650 E Blithedale Ave
Ste. a
Mill Valley, CA 94941-1478
Phone
(415) 388-6006
NPI assigned
Aug 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59564 CA Primary

Addresses

Primary practice location

650 E Blithedale Ave
Ste. a
Mill Valley, CA 94941-1478

Mailing address

650 E Blithedale Ave
Ste. a
Mill Valley, CA 94941-1478
Phone (415) 388-6006

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Leite DDS LLC General Practice CurrentSince Nov 18, 2025 Accepting new patients

Locations

650 E Blithedale Ave
Ste A
Mill Valley, CA 94941
Phone (415) 388-6006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1063728392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E BLITHEDALE AVE",
            "address_2": "STE. A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411478",
            "telephone_number": "415-388-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E BLITHEDALE AVE",
            "address_2": "STE. A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411478",
            "telephone_number": "415-388-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITE",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.