Individual provider Active NPI

Leeanne Setsumi Sera, D.D.S.

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1427275189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40305 Issued in CA
Practice address
2585 Homestead Rd
Suite 102
Santa Clara, CA 95051-5375
Phone
(408) 248-3110
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40305 CA Primary

Addresses

Primary practice location

2585 Homestead Rd
Suite 102
Santa Clara, CA 95051-5375

Mailing address

2585 Homestead Rd
Suite 102
Santa Clara, CA 95051-5375
Phone (408) 248-3110

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427275189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 HOMESTEAD RD",
            "address_2": "SUITE 102",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515375",
            "telephone_number": "408-248-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 HOMESTEAD RD",
            "address_2": "SUITE 102",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515375",
            "telephone_number": "408-248-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERA",
        "first_name": "LEEANNE",
        "middle_name": "SETSUMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.