Active NPI
De'Shondra Niccole Leonard, DDS
- Dentist
- Houston, TX
National Provider Identifier
1295084507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28868
- Practice address
- 2280 Holcombe Blvd
Houston, TX 77030-4224 - Phone
- (713) 799-1400
- NPI assigned
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60879 | KS | |
| Dentist | 122300000X | 28868 | TX | Primary |
Addresses
Primary practice location
2280 Holcombe Blvd
Houston, TX 77030-4224
Mailing address
2280 Holcombe Blvd
Houston, TX 77030-4224
Phone (713) 799-1400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60879 | KS | MD | Dentist |
| 28868 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389484800000",
"number": "1295084507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304224",
"telephone_number": "713-799-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304224",
"telephone_number": "713-799-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "DE'SHONDRA",
"middle_name": "NICCOLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2014-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60879",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.