Miguel Deleon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106795 Issued in CA

Practice address

324 N San Mateo Dr Ste 3
San Mateo, CA 94401-2999

Phone

(650) 342-6649

NPI assigned

Apr 11, 2020

Last updated

Apr 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Miguel Deleon DMD Inc

  • Dental Clinic/Center
  • San Mateo, CA
  • NPI 1962176487
  NPD Authorized official

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1306465190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 COPPER DR APT 204",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093887",
            "telephone_number": "925-584-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N SAN MATEO DR STE 3",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012999",
            "telephone_number": "650-342-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "MIGUEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Dekom
• Del Monte Icf Inc (Adams Icf Idd N)
• Maria M Del Rio, PH.D.
• Noeli Del Rio
• Dann Matthew Dela Cruz
• Noelia Delgado Huertas
• Marcos Delgado Martinez
• Mary Olive Delgado, RN
• Peter Antony Dell, M.D.
• Justine Elise Della Fave, MSN, CNM, WHNP-BC

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.