Jacqueline De Leon-Estes, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00009255 Issued in WA

Practice address

12121 Harbour Reach Dr
Suite 210
Mukilteo, WA 98275-5314

Phone

(425) 348-5060

Fax

(425) 493-8712

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline De Leon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265453393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 HARBOUR REACH DR",
            "address_2": "SUITE 210",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755314",
            "telephone_number": "425-348-5060",
            "fax_number": "425-493-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 HARBOUR REACH DR",
            "address_2": "SUITE 210",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755314",
            "telephone_number": "425-348-5060",
            "fax_number": "425-493-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON-ESTES",
        "first_name": "JACQUELINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1542904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DE LEON",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Antony Davenport, MD, MPH
• Jill Marie Davidson, MSOT, OTR/L
• Emily M Davis
• Jillianna Davis
• Rachel Sabandal Day, N.D.
• Eileen Delacruz, MD
• Jared Dell, LPN
• Alyssa Kayle Derrick, L.M.P.
• Deshael Mental Health Services PLLC
• Megan Rey Devlin

• Orthodontics and Dentofacial Orthopedics Dentistry in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.