NPIMap

Organization Active NPI

Esdl de Leon DDS Inc

  • Dentist
  • Hayward, CA
National Provider Identifier
1720468929
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55619 Issued in CA
Legal business name
ESDL DE LEON DDS INC
Practice address
1375 B St
Hayward, CA 94541-2917
Phone
(510) 582-8277
Fax
(510) 582-0305
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Elmer Santos De Leon, DDS
Title
President
Phone
(510) 396-2703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55619 CA Primary

Addresses

Primary practice location

1375 B St
Hayward, CA 94541-2917

Mailing address

1375 B St
Hayward, CA 94541-2917
Phone (510) 582-8277

National Provider Directory

National Provider Directory

Locations

1375 B St
Hayward, CA 94541
Phone (510) 582-8277

Practitioners & affiliated clinicians

Practitioners 1

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": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1720468929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412917",
            "telephone_number": "510-582-8277",
            "fax_number": "510-582-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412917",
            "telephone_number": "510-582-8277",
            "fax_number": "510-582-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESDL DE LEON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-396-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.