Robert Matthew Leonard

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61561602 Issued in WA

Practice address

7501 W Deschutes PL Ste a
Kennewick, WA 99336-7719

Phone

(509) 786-1960

NPI assigned

Mar 23, 2022

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 WA

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

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1447909593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 W DESCHUTES PL STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367719",
            "telephone_number": "509-783-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 W DESCHUTES PL STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367719",
            "telephone_number": "509-786-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61561602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey S Lemire, PA-C
• Kimberly Delgado Lemus
• Sherrie Lee Lennox, LMHCA
• Aidan Leonard
• James E Leonard, DDS
• Dana Justeen Leverett, MSW
• Maddie Isabel Levesque, BA
• Kenneth Robert Lewis, CP00004923
• Natalie Lichtenhahn
• Joanna O Licon

• Pediatric Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.