Individual provider Active NPI

John Francis Leung, D.M.D.

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1265434146
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17853 Issued in MA
Practice address
106 E Broad St
Savannah, GA 31401-2917
Phone
(912) 527-1000
NPI assigned
Aug 11, 2005
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17853 MA Primary

Addresses

Primary practice location

106 E Broad St
Savannah, GA 31401-2917

Mailing address

5 Offshore Rd
Savannah, GA 31410-1531
Phone (843) 300-7427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200826001801 GA Practitioner - Dentist 9638596331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17853MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince May 18, 2020 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care, Inc CurrentSince May 18, 2020 Accepting new patients
Curtis V. Cooper Primary Health Care Inc. Current Accepting new patients

Locations

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

1501 Abercorn St
Savannah, GA 31401
Phone (912) 233-7970

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1265434146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OFFSHORE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101531",
            "telephone_number": "843-300-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E BROAD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012917",
            "telephone_number": "912-527-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.