Fernando Leon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4749T Issued in NV

Practice address

2605 S Decatur Blvd
Suite 116
Las Vegas, NV 89102-8591

Phone

(702) 876-2525

Fax

(702) 876-1686

NPI assigned

Feb 22, 2007

Last updated

Apr 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3545 Johnson Blvd Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1124759527
  Medicare reassignment NPD
• 43 Chruch Street Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1356097869
  Medicare reassignment NPD
• Alejandro Williams Dental Office PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1508037466
  Medicare reassignment NPD
• Bonita Sonrisa Dental Mso

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1790325884
  Medicare reassignment NPD
• Spore Test Inc

  • Dentist
  • Bronx, NY
  • NPI 1902533342
  Medicare reassignment
• Bonita Sonrisa Dental Ipa

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1700343233
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1093840712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S DECATUR BLVD",
            "address_2": "SUITE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028591",
            "telephone_number": "702-876-2525",
            "fax_number": "702-876-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S DECATUR BLVD",
            "address_2": "SUITE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028591",
            "telephone_number": "702-876-2525",
            "fax_number": "702-876-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4749T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaso Leon
• Daniela Leon
• Diunaika Gutierrez Leon
• Elizabeth Leon, MS, LAT, ATC,NREMT
• Elizabeth Leon
• Francisco Leon
• Francisco Leon
• Giselle Leon
• Idalmis Leon
• Irene Leon

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.