Individual provider Active NPI

Herman Leung, DDS

  • Dentist
  • Parlier, CA
National Provider Identifier
1073745584
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58668 Issued in CA
Practice address
545 E Manning Ave
Suite 109
Parlier, CA 93648-2652
Phone
(559) 646-3561
Fax
(559) 646-6906
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58668 CA Primary

Addresses

Primary practice location

545 E Manning Ave
Suite 109
Parlier, CA 93648-2652

Mailing address

650 S Zediker Ave
Parlier, CA 93648-2639
Phone (559) 646-3561

Other identifiers 1

IdentifierTypeStateIssuer
58668OtherCADENTAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160527000689 CA Order and Referring Only - DentistPractitioner - Dentist 3779873088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1073745584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S ZEDIKER AVE",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482639",
            "telephone_number": "559-646-3561",
            "fax_number": "559-646-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E MANNING AVE",
            "address_2": "SUITE 109",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482652",
            "telephone_number": "559-646-3561",
            "fax_number": "559-646-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "HERMAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "58668",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlier, CA

Sources for this page

Verify at the official NPI Registry.