Active NPI
Katherine Leung
- General Practice Dentistry
- Hayward, CA
National Provider Identifier
1184250409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 107038
- Practice address
- 22610 6TH St
Hayward, CA 94541-3008 - Phone
- (510) 886-8899
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 107038 | CA | Primary |
Addresses
Primary practice location
22610 6TH St
Hayward, CA 94541-3008
Mailing address
22610 6TH St
Hayward, CA 94541-3008
Phone (510) 886-8899
Other practice location 1
5008 7th Ave
Brooklyn, NY 11220-2167
Phone (718) 210-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drleung@leungdentalcare.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107038 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1184250409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22610 6TH ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413008",
"telephone_number": "510-886-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22610 6TH ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413008",
"telephone_number": "510-886-8899"
}
],
"practiceLocations": [
{
"address_1": "5008 7th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202167",
"country_code": "US",
"telephone_number": "718-210-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEUNG",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2021-12-28",
"certification_date": "2021-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "107038",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drleung@leungdentalcare.com",
"affiliation": "N",
"endpointDescription": "E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "22610 6th St",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945413008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.