Katrina Andrada Leano, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6177 Issued in WI

Practice address

1150 County Road E E Ste 220
Vadnais Heights, MN 55110-5122

Phone

(651) 389-1002

NPI assigned

Aug 24, 2007

Sex

Female

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 MN

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

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.

• Red Oak Family Dental

  • General Practice Dentistry
  • Lake Elmo, MN
  • NPI 1154989507
  NPD (past) Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1427241173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 RED OAK TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551292210",
            "telephone_number": "651-226-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 COUNTY ROAD E E STE 220",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105122",
            "telephone_number": "651-389-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANO",
        "first_name": "KATRINA",
        "middle_name": "ANDRADA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana K Schultz Krumwiede, PT
• Nicole Kwapick
• Lake Area Dermatology PA
• Ryan Langer, DPT
• Abby C Larsen, DPT
• Trevor Lecocq, LPCC
• Ryan Zachary Lee, PT
• Dexter Leer, DPT
• Ben David Lemke, DC
• Mary Ann Leukuma, M.D.

• General Practice Dentistry in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.