Leon Chung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102139 Issued in CA

Practice address

1491 Cedarwood LN Ste C
Pleasanton, CA 94566-6126

Phone

(925) 918-6500

Fax

(925) 918-4750

NPI assigned

Nov 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thy Pham DDS Inc

  • General Practice Dentistry
  • Pleasanton, CA
  • NPI 1336890920
  NPD Authorized official
• Hoang and Rho Dental Corporation

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1326133190
  NPD (past)
• Priya Patel Dental Corporation

  • Dentist
  • Pinole, CA
  • NPI 1285008987
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1679086524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666126",
            "telephone_number": "925-918-6500",
            "fax_number": "925-918-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666126",
            "telephone_number": "925-918-6500",
            "fax_number": "925-918-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Fitzgerald Dr",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "94564",
            "country_code": "US",
            "telephone_number": "510-210-8907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4690 Natomas Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958352230",
            "country_code": "US",
            "telephone_number": "916-515-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "LEON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102139",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yan C. Chow, MD
• Beth Reed Christensen, M. A., PPS, MFT
• Robert Eric Christensen, PSY.D.
• Christopher Chen, M.D., Inc.
• Hyun Mo Chung, L.AC.
• Robert Churchill, BCBA
• Cielo House Inc
• Juliana Rose Cinque, MD
• Jillian E Clanton, BCBA
• Alexis Rae Clark

• Dentist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.