Ian Leopold, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

59633 Issued in CA

Practice address

878 Walnut St
San Luis Obispo, CA 93401-2725

Phone

(805) 541-0550

Fax

(805) 541-0485

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Leopold & Murphy PC

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1770652927
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1275849507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 WALNUT ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012725",
            "telephone_number": "805-541-0550",
            "fax_number": "805-541-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 WALNUT ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012725",
            "telephone_number": "805-541-0550",
            "fax_number": "805-541-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD",
        "first_name": "IAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lentz
• Christine Dawn Leonard
• Katherine Adele Leonard
• Michele Leong, AMFT
• Leopold & Murphy PC
• Lupita Lepe
• George Lepper, CPRP
• Erin Lerner, MS RD
• Jason Christopher Leroux, D.D.S.
• Joni Eileen Lesser Benton, L.C.S.W.

• Dentist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.