Organization Active NPI

Dentistca, Dental Practice of John K. Leung, D.D.S., P.C.

  • Dentist
  • Burlingame, CA
National Provider Identifier
1659820579
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34629 Issued in CA
Legal business name
DENTISTCA, DENTAL PRACTICE OF JOHN K. LEUNG, D.D.S., P.C.
Practice address
500 Primrose Rd
#3
Burlingame, CA 94010-4088
Phone
(650) 343-2120
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
John K Leung, D.D.S.NPI 1356301915
Title
President
Phone
(650) 343-2120

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 34629 CA Primary

Addresses

Primary practice location

500 Primrose Rd
#3
Burlingame, CA 94010-4088

Mailing address

500 Primrose Rd
#3
Burlingame, CA 94010-4088
Phone (650) 343-2120

National Provider Directory

National Provider Directory

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1659820579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE RD",
            "address_2": "#3",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104088",
            "telephone_number": "650-343-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE RD",
            "address_2": "#3",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104088",
            "telephone_number": "650-343-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTCA, DENTAL PRACTICE OF JOHN K. LEUNG, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-343-2120",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.