Organization Active NPI

Danny Blaine Leeds DDS

Doing business as Tiburon Family Dental

  • Dental Clinic/Center
  • Tiburon, CA
National Provider Identifier
1487453254
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANNY BLAINE LEEDS DDS
Doing business as
Tiburon Family Dental
Practice address
1606 Juanita LN Ste D&G
Tiburon, CA 94920-2548
Phone
(415) 435-3371
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Danny Blaine Leeds, DDSNPI 1821007469
Title
Owner / Dentist
Phone
(479) 754-0459

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1606 Juanita LN Ste D&G
Tiburon, CA 94920-2548

Mailing address

1606 Juanita LN Ste D&G
Tiburon, CA 94920-2548
Phone (415) 435-3371

Other names 1

  • Tiburon Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1606 Juanita Ln
Ste Dg
Tiburon, CA 94920
Phone (415) 435-3371

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": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1487453254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 JUANITA LN STE D&G",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202548",
            "telephone_number": "415-435-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 JUANITA LN STE D&G",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202548",
            "telephone_number": "415-435-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY BLAINE LEEDS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "479-754-0459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiburon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiburon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.