NPIMap

Organization Active NPI

De Leon Dentistry General & Cosmestic

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1548642846
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DE LEON DENTISTRY GENERAL & COSMESTIC
Practice address
1942 Harbor Blvd.
Costa Mesa, CA 92627
Phone
(949) 631-1000
Fax
(949) 631-0350
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Maria P De LeonNPI 1376601211
Title
D.D.S (Dentist)
Phone
(949) 631-1000

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

1942 Harbor Blvd.
Costa Mesa, CA 92627

Mailing address

1942 Harbor Blvd.
Costa Mesa, CA 92627
Phone (949) 631-1000

National Provider Directory

National Provider Directory

Locations

1942 Harbor Blvd
Costa Mesa, CA 92627
Phone (949) 631-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1548642846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 HARBOR BLVD.",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-631-1000",
            "fax_number": "949-631-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 HARBOR BLVD.",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-631-1000",
            "fax_number": "949-631-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LEON DENTISTRY GENERAL & COSMESTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "D.D.S (DENTIST)",
        "authorized_official_telephone_number": "949-631-1000"
    },
    "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 Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.