Odontotech, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ODONTOTECH, PC

Practice address

5870 Blackshire Path
Inver Grove Heights, MN 55076-1620

Phone

(651) 433-7200

Fax

(651) 760-4333

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Vladimir Leon, DDS, MSD

Title

Orthodontist

Phone

(651) 433-7200

Specialties & licenses 2

Addresses

Other names 1

• Leon Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Leon Salazar, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Inver Grove Heights, MN
  • NPI 1508109810
  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1063974780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761620",
            "telephone_number": "651-433-7200",
            "fax_number": "651-760-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761620",
            "telephone_number": "651-433-7200",
            "fax_number": "651-760-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODONTOTECH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "651-433-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Nikolai, RPH
• Cindy Eileen Nilsen, M.S., CCC-A
• Jenna Lynn Noonan
• Northland Dental Partners, PLLC
• Northland Hearing Centers, Inc.
• Emuesiri Cynthia Odudu, RN, BSN
• Oludemilade Oduwaiye
• Bailey Offerdahl, PHARMD
• Ross Stanley Olson, M.D.
• Dureti Omer

• Orthodontics and Dentofacial Orthopedics Dentistry in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.