Maria Ahleen de Leon Medina DMD Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARIA AHLEEN DE LEON MEDINA DMD CORP

Practice address

6600 Madison Ave Ste 3
Carmichael, CA 95608-0645

Phone

(916) 276-8629

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jonnel Medina

Title

Office Administrator

Phone

(916) 276-8629

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1710409339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BRITTANY CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 3",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-276-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA AHLEEN DE LEON MEDINA DMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JONNEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "916-276-8629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araxia Manukyan
• Maria Leigh Manyaga
• Anna Manzyuk, NP
• Michele March
• Theodore Cosmo Marentis, M.D.
• Maria Teresa R de Guzman DDS Corp
• Mark Dylan Kovar DMD, PC
• Lidia Ann Marks-Bratten, CADC-CAS
• Madeline Elizabeth Markstrom, PA
• Benjamin Lee Marsh, M.D.

• Dental Clinic/Center in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.