Individual provider Active NPI

Jonathan Leung, D.D.S.

  • General Practice Dentistry
  • North Bethesda, MD
National Provider Identifier
1326181355
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13413 Issued in MD
Practice address
11500 Old Georgetown Rd
North Bethesda, MD 20852-2735
Phone
(301) 938-6898
NPI assigned
Feb 15, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1000368 DC
General Practice Dentistry 1223G0001X 0401410968 VA
General Practice Dentistry 1223G0001X 13413 MD Primary

Addresses

Primary practice location

11500 Old Georgetown Rd
North Bethesda, MD 20852-2735

Mailing address

11500 Old Georgetown Rd
North Bethesda, MD 20852-2735
Phone (301) 938-6898

Other practice location 1

2501 N Glebe Rd
Suite 102
Arlington, VA 22207-3558
Phone (703) 526-9700

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

LicenseStateTypeSpecialty
DEN1000368DCMDGeneral Practice Dentistry
13413MDMDGeneral Practice Dentistry
0401410968VAMDGeneral Practice Dentistry

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326181355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 OLD GEORGETOWN RD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208522735",
            "telephone_number": "301-938-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 OLD GEORGETOWN RD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208522735",
            "telephone_number": "301-938-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Glebe Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222073558",
            "country_code": "US",
            "telephone_number": "703-526-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000368",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410968",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.