Active NPI
Leena Palomo, D.D.S., M.S.D.
- Periodontics
- South Euclid, OH
National Provider Identifier
1558450767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 063602
- Practice address
- 14055 Cedar Rd
Suite 203
South Euclid, OH 44118-3337 - Phone
- (216) 371-0220
- Fax
- (216) 371-3763
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 21458 | OH | |
| Periodontics | 1223P0300X | 063602 | NY | Primary |
Addresses
Primary practice location
14055 Cedar Rd
Suite 203
South Euclid, OH 44118-3337
Mailing address
14055 Cedar Rd
Suite 203
South Euclid, OH 44118-3337
Phone (216) 371-0220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 063602 | NY | MD | Periodontist |
| 21458 | OH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1558450767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14055 CEDAR RD",
"address_2": "SUITE 203",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441183337",
"telephone_number": "216-371-0220",
"fax_number": "216-371-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14055 CEDAR RD",
"address_2": "SUITE 203",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441183337",
"telephone_number": "216-371-0220",
"fax_number": "216-371-3763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMO",
"first_name": "LEENA",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "21458",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "063602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.