Individual provider Active NPI

Leon Foreman Jr., DDS

  • Dentist
  • Amarillo, TX
National Provider Identifier
1548357338
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21521 Issued in TX
Practice address
2401 Commerce St
Amarillo, TX 79109-1513
Phone
(806) 358-7633
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21521 TX
Dentist 122300000X 21521 TX Primary

Addresses

Primary practice location

2401 Commerce St
Amarillo, TX 79109-1513

Mailing address

3300 S Gessner Rd
Ste 165 B
Houston, TX 77063-5100
Phone (713) 732-0706

Other practice location 1

6121 Hillcroft St
Ste P
Houston, TX 77081-1002
Phone (832) 834-4242

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

State licenses

LicenseStateTypeSpecialty
21521TXMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Moore & King L.L.P General Practice PastSince Sep 17, 2023 Accepting new patients
Leon Xavier Foreman Dental PLLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1548357338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S GESSNER RD",
            "address_2": "STE 165 B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635100",
            "telephone_number": "713-732-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 COMMERCE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091513",
            "telephone_number": "806-358-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Hillcroft St",
            "address_2": "Ste P",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770811002",
            "country_code": "US",
            "telephone_number": "832-834-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21521",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.