Organization Active NPI

Amanda Leong Dental PC

  • General Practice Dentistry
  • Alameda, CA
National Provider Identifier
1467101477
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMANDA LEONG DENTAL PC
Practice address
2215 Santa Clara Ave
Alameda, CA 94501-4416
Phone
(510) 523-7600
Fax
(510) 865-1179
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Amanda Leong, DDSNPI 1912912783
Title
Dentist
Phone
(510) 846-0572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2215 Santa Clara Ave
Alameda, CA 94501-4416

Mailing address

2215 Santa Clara Ave
Alameda, CA 94501-4416
Phone (510) 523-7600

National Provider Directory

National Provider Directory

Locations

2215 Santa Clara Ave
Alameda, CA 94501
Phone (510) 523-7600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1467101477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014416",
            "telephone_number": "510-523-7600",
            "fax_number": "510-865-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014416",
            "telephone_number": "510-523-7600",
            "fax_number": "510-865-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA LEONG DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-846-0572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.