Kon L Leung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32576 Issued in CA

Practice address

111 E Broadway Ste 202
Glendale, CA 91205-1044

Phone

(818) 500-9200

Fax

(818) 500-9009

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leung Dental Corp

  • Dental Clinic/Center
  • Glendale, CA
  • NPI 1205044583
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407079734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E BROADWAY STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051044",
            "telephone_number": "818-500-9200",
            "fax_number": "818-500-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E BROADWAY STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051044",
            "telephone_number": "818-500-9200",
            "fax_number": "818-500-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "KON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Faye Leshner
• Tara Ford Leufroy, PSY.D.
• Leung Dental Corp
• CHI C Leung, DDS
• Christine P. Leung, D.D.S.
• Rhavene Mae Francisco Leuterio
• Lev Grinman MD 3 Professional Corporation
• Lev Grinman MD PC
• Levanta Counseling Servicess LLC
• Debora Luna Leverett, ACC

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.