Individual provider Active NPI

Peter H. Leou

  • Dentist
  • Foothill Ranch, CA
National Provider Identifier
1265721112
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41107 Issued in CA
Practice address
26730 Towne Centre Dr Ste 201
Foothill Ranch, CA 92610-2842
Phone
(949) 916-5888
Fax
(949) 916-5889
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41107 CA Primary

Addresses

Primary practice location

26730 Towne Centre Dr Ste 201
Foothill Ranch, CA 92610-2842

Mailing address

26730 Towne Centre Dr Ste 201
Foothill Ranch, CA 92610-2842
Phone (949) 916-5888

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

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1265721112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 201",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842",
            "telephone_number": "949-916-5888",
            "fax_number": "949-916-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 201",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842",
            "telephone_number": "949-916-5888",
            "fax_number": "949-916-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOU",
        "first_name": "PETER",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.