Your Great Smile, Inc.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP47 Issued in CA

Legal business name

YOUR GREAT SMILE, INC.

Practice address

856 Cypress Ave
Novato, CA 94947-3925

Phone

(415) 898-7390

Fax

(415) 898-7389

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Vange Irene Leonis, RDHAP,MSNPI 1841355401

Title

President

Phone

(415) 898-7390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vange Irene Leonis, RDHAP

  • Dental Hygienist
  • Novato, CA
  • NPI 1841355401
  NPD (past) Authorized official
• Donald Eric Kent, D.D.S.

  • Dentist
  • Novato, CA
  • NPI 1104951730
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659578227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926A DIABLO AVE # 122",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474025",
            "telephone_number": "415-898-7390",
            "fax_number": "415-898-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 CYPRESS AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473925",
            "telephone_number": "415-898-7390",
            "fax_number": "415-898-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR GREAT SMILE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONIS",
        "authorized_official_first_name": "VANGE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-898-7390",
        "authorized_official_credential": "RDHAP,MS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841355401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Varnay Yates, PHARMD
• Carrie K Yeung, PHARMD
• Sara B York
• Yoshihiro Katsuura Professional Corporation
• May Lynn Young, RN
• Dawn Xiaoyi Yu, PHARMD
• Ana Calles Zand, DMD, MSD
• Sanaz Zandbiglari
• Anna Justine Zarate
• Sarah Ziemer, RDH

• Dental Hygienist in Novato, CA
• Providers in Novato, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.