Organization Active NPI

Manuel Deleon DDS a Dental Corporation

  • Dentist
  • Arleta, CA
National Provider Identifier
1316030497
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30997 Issued in CA
Legal business name
MANUEL DELEON DDS A DENTAL CORPORATION
Practice address
8932 Woodman Ave
Ste 101
Arleta, CA 91331
Phone
(818) 895-1458
Fax
(818) 982-3492
NPI assigned
Oct 2, 2006
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Manuel Antonio De Leon, DDSNPI 1023205143
Title
President
Phone
(818) 895-1458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN12447 FL
Dentist 122300000X 30997 CA Primary

Addresses

Primary practice location

8932 Woodman Ave
Ste 101
Arleta, CA 91331

Mailing address

8932 Woodman Ave
Ste 101
Arleta, CA 91331
Phone (818) 895-1458

National Provider Directory

National Provider Directory

Locations

8932 Woodman Ave
Ste 101
Arleta, CA 91331
Phone (818) 895-1458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1316030497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 WOODMAN AVE",
            "address_2": "STE 101",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-895-1458",
            "fax_number": "818-982-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 WOODMAN AVE",
            "address_2": "STE 101",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-895-1458",
            "fax_number": "818-982-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL DELEON DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-895-1458",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12447",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.