Organization Active NPI

Carlos Y Leal DDS II Inc

  • Dentist
  • Upland, CA
National Provider Identifier
1477828432
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT32249 Issued in CA
Legal business name
CARLOS Y LEAL DDS II INC
Practice address
659 E. 15 St Suite B
Upland, CA 91786
Phone
(909) 946-8304
Fax
(909) 946-8394
NPI assigned
Mar 9, 2012
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mr. Carlos Y Leal, DDSNPI 1467725739
Title
Dentist
Phone
(909) 204-0643

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DT32249 CA Primary

Addresses

Primary practice location

659 E. 15 St Suite B
Upland, CA 91786

Mailing address

659 E. 15 St Suite B
Upland, CA 91786
Phone (909) 946-8304

National Provider Directory

National Provider Directory

Locations

659 E 15th St
Ste B
Upland, CA 91786
Phone (909) 946-8304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1477828432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 E. 15 ST SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-946-8304",
            "fax_number": "909-946-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 E. 15 ST SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-946-8304",
            "fax_number": "909-946-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS Y LEAL DDS II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-204-0643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DT32249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.