Active NPI
Leng Chung Haong, DDS
- Dentist
- Clovis, CA
National Provider Identifier
1568552636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50265
- Practice address
- 1010 Shaw Ave
Suite B
Clovis, CA 93612-3950 - Phone
- (559) 323-1776
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50265 | CA | Primary |
Addresses
Primary practice location
1010 Shaw Ave
Suite B
Clovis, CA 93612-3950
Mailing address
251 W Serena Ave
Clovis, CA 93619-3794
Phone (559) 305-2219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150810002700 | CA | Order and Referring Only - Dentist | 6204141922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1183852800000",
"number": "1568552636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 W SERENA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936193794",
"telephone_number": "559-305-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SHAW AVE",
"address_2": "SUITE B",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123950",
"telephone_number": "559-323-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAONG",
"first_name": "LENG",
"middle_name": "CHUNG",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.