Active NPI
Kevin F Leong, D.D.S
- Dentist
- Honolulu, HI
National Provider Identifier
1184850067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT2375
- Practice address
- 555 N King St
Suite 111
Honolulu, HI 96817-4658 - Phone
- (808) 848-2400
- Fax
- (808) 847-2238
- NPI assigned
- Jun 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT2375 | HI | Primary |
Addresses
Primary practice location
555 N King St
Suite 111
Honolulu, HI 96817-4658
Mailing address
555 N King St
Suite 111
Honolulu, HI 96817-4658
Phone (808) 848-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 943166946 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 23, 2016 through May 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2375 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Dental Health Services | Dentist | Past | Accepting new patients |
| King's Dental & Implant Service LLC | Past | Accepting new patients | |
| McGraw & Bellanca, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Honolulu, HI
- NPI 1538479142
-
- Dentist
- Honolulu, HI
- NPI 1154563823
-
- General Practice Dentistry
- Mililani, HI
- NPI 1801974829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1184850067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N KING ST",
"address_2": "SUITE 111",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174658",
"telephone_number": "808-848-2400",
"fax_number": "808-847-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N KING ST",
"address_2": "SUITE 111",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174658",
"telephone_number": "808-848-2400",
"fax_number": "808-847-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "KEVIN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT2375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "943166946",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.