Individual provider Active NPI

Christopher William Leyster, D.D.S.

  • Pediatric Dentistry
  • Chino, CA
National Provider Identifier
1689013153
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
64480 Issued in CA
Practice address
3991 Grand Ave Ste D
Chino, CA 91710
Phone
(909) 591-0077
NPI assigned
Jun 18, 2013
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 64480 CA Primary

Addresses

Primary practice location

3991 Grand Ave Ste D
Chino, CA 91710

Mailing address

3991 Grand Ave Ste D
Chino, CA 91710-5442
Phone (909) 591-0077

Other practice location 1

6810 Silverheel St
Shawnee, KS 66226-5300
Phone (913) 745-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Pediatric Dentistry Pediatric Dentistry PastSince Aug 23, 2020 Accepting new patients
Christopher W. Leyster, DDS, a Professional Corporation Pediatric Dentistry PastSince Oct 6, 2019 Accepting new patients
Linda Tran DDS a PDC Pediatric Dentistry PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1689013153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 GRAND AVE STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105442",
            "telephone_number": "909-591-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 GRAND AVE STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-591-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Silverheel St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662265300",
            "country_code": "US",
            "telephone_number": "913-745-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYSTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "64480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.