Deleon Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046096 Issued in NY

Legal business name

DELEON DENTAL OFFICE

Practice address

155 E Merrick Rd
Valley Stream, NY 11580-5925

Phone

(516) 341-7088

NPI assigned

Nov 19, 2014

Last updated

Nov 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Rafael De Leon, DDSNPI 1396735411

Title

President

Phone

(347) 443-5633

Specialties & licenses 1

Addresses

Locations

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.

• Jose Rafael De Leon, D.D.S.

  • General Practice Dentistry
  • New York, NY
  • NPI 1396735411
  NPD (past) Authorized official

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1316343346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E CARPENTER ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804404",
            "telephone_number": "516-561-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805925",
            "telephone_number": "516-341-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELEON DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-443-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deeper Well Counseling LCSW PC
• Derida Deflorimonte, MHC-LP
• Irene Sachs Deitel, APRN,BC
• Deborah Michelle Dejean, LMHC
• Anita Delahoz
• Vanessa Delos Santos
• Carlton Delpeche
• Nathalie Delva-Jemmott, NURSE PRACTITIONER
• Ellysha Delva
• Demeterio & Nejatheim MD PC

• General Practice Dentistry in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.