NPIMap

Organization Active NPI

Carlos F. Leon DDS, Inc

  • Dentist
  • Anaheim, CA
National Provider Identifier
1639592918
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54417 Issued in CA
Legal business name
CARLOS F. LEON DDS, INC
Practice address
1160 N East St
Anaheim, CA 92805-1428
Phone
(714) 535-7373
Fax
(714) 535-7384
NPI assigned
Jan 23, 2014
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Carlos F LeonNPI 1760603526
Title
President
Phone
(714) 535-7373

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
Dentist 122300000X 54417 CA Primary

Addresses

Primary practice location

1160 N East St
Anaheim, CA 92805-1428

Mailing address

1160 N East St
Anaheim, CA 92805-1428
Phone (714) 535-7373

National Provider Directory

National Provider Directory

Locations

1160 N East St
Anaheim, CA 92805
Phone (714) 535-7373

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": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1639592918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051428",
            "telephone_number": "714-535-7373",
            "fax_number": "714-535-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051428",
            "telephone_number": "714-535-7373",
            "fax_number": "714-535-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS F. LEON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-535-7373",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.