Organization Active NPI

M. Alegria L. Ledda DDS Inc.

  • General Practice Dentistry
  • Vallejo, CA
National Provider Identifier
1265617856
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53823 Issued in CA
Legal business name
M. ALEGRIA L. LEDDA DDS INC.
Practice address
3630 Sonoma Blvd
Vallejo, CA 94590-2946
Phone
(707) 643-1987
Fax
(707) 643-2074
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Alegria L Ledda, DDSNPI 1336235464
Title
Dentist
Phone
(707) 643-1987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53823 CA Primary

Addresses

Primary practice location

3630 Sonoma Blvd
Vallejo, CA 94590-2946

Mailing address

3630 Sonoma Blvd
Vallejo, CA 94590-2946
Phone (707) 643-1987

Other identifiers 1

IdentifierTypeStateIssuer
G8967501OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

3630 Sonoma Blvd
Vallejo, CA 94590
Phone (707) 319-7484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1265617856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902946",
            "telephone_number": "707-643-1987",
            "fax_number": "707-643-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902946",
            "telephone_number": "707-643-1987",
            "fax_number": "707-643-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ALEGRIA L. LEDDA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "LEDDA",
        "authorized_official_first_name": "ALEGRIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-643-1987",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G8967501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.