Active NPI
Leona Wilkins, DDS, MSD
- Endodontics
- Bayside, NY
National Provider Identifier
1205040490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 054721
- Practice address
- 21337 39TH Ave
Ste 226
Bayside, NY 11361-2071 - Phone
- (917) 756-4499
- NPI assigned
- May 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 054721 | NY | Primary |
Addresses
Primary practice location
21337 39TH Ave
Ste 226
Bayside, NY 11361-2071
Mailing address
21337 39TH Ave
Ste 226
Bayside, NY 11361-2071
Phone (917) 756-4499
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 |
|---|---|---|---|
| 054721 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1205040490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21337 39TH AVE",
"address_2": "STE 226",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612071",
"telephone_number": "917-756-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21337 39TH AVE",
"address_2": "STE 226",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612071",
"telephone_number": "917-756-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "LEONA",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "054721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.