Leonard J Kinateder, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17655 Issued in TX

Practice address

4400-1 E Central TX Exp
Longhorn Dental
Killeen, TX 76543

Phone

(254) 699-3559

Fax

(254) 699-3894

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carus Dental PC

  dba Carus Dental Killeen

  • General Practice Dentistry
  • Killeen, TX
  • NPI 1730269499
  NPD (past)
• Texas Oral & Maxillofacial Surgery Associates, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Killeen, TX
  • NPI 1821219767
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427164037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 CAMERON ROAD",
            "address_2": "SUITE 107 LONGHORN DENTAL ASSOCIATES PC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-371-1222",
            "fax_number": "512-371-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400-1 E CENTRAL TX EXP",
            "address_2": "LONGHORN DENTAL",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76543",
            "telephone_number": "254-699-3559",
            "fax_number": "254-699-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINATEDER",
        "first_name": "LEONARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Killeen Vision 153
• Tae Won Kim, O.D.
• Amanda Rose Kimball
• Dominique Kimble, NP
• Lindsey Grace Julliette Kimbrough, RD/RDN, LD
• Kenneth Richard Kindle, D.O.
• Jessica Nicole King
• Linda M King, CCC-SLP
• Ravon Symone King
• Rebecca Lynn King

• Dentist in Killeen, TX
• Providers in Killeen, TX by specialty
• Dentist in Texas

• 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.