Individual provider Active NPI

Leena Shah, DMD

  • Endodontics
  • Cedar Park, TX
National Provider Identifier
1124589098
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
38660 Issued in TX
Practice address
3415 El Salido Pkwy Ste B
Cedar Park, TX 78613-5521
Phone
(512) 219-5900
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38660 TX
Student in an Organized Health Care Education/Training Program 390200000X
Endodontics 1223E0200X 38660 TX Primary

Addresses

Primary practice location

3415 El Salido Pkwy Ste B
Cedar Park, TX 78613-5521

Mailing address

3415 El Salido Pkwy Ste B
Cedar Park, TX 78613-5521
Phone (512) 219-5900

Other names 1

  • Leena Chandna Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190815002945 LA Order and Referring Only - DentistPractitioner - Dentist 6002143815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38660TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Dental of Stone Oak PastSince Jul 17, 2022 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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1124589098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 EL SALIDO PKWY STE B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135521",
            "telephone_number": "512-219-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 EL SALIDO PKWY STE B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135521",
            "telephone_number": "512-219-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "LEENA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38660",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "38660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEENA",
            "last_name": "CHANDNA",
            "credential": "DMD, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.