Individual provider Active NPI

Stephanie Leung, DMD

  • General Practice Dentistry
  • North Dartmouth, MA
National Provider Identifier
1285001263
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856990 Issued in MA
Practice address
49 State Rd
Suite 101 Nauset Building
North Dartmouth, MA 02747-3322
Phone
(505) 999-2234
NPI assigned
Aug 26, 2015
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN03284 RI
General Practice Dentistry 1223G0001X DN1856990 MA Primary

Addresses

Primary practice location

49 State Rd
Suite 101 Nauset Building
North Dartmouth, MA 02747-3322

Mailing address

49 State Rd
Suite 101 Nauset Building
North Dartmouth, MA 02747-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160106001143 MA Order and Referring Only - DentistPractitioner - Dentist 5799087862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856990MAMDGeneral Practice Dentistry
DEN03284RIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1285001263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "SUITE 101 NAUSET BUILDING",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "SUITE 101 NAUSET BUILDING",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "505-999-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03284",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.