Individual provider Active NPI

Dennis C. Leung, DDS

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1740398171
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B39032 Issued in CA
Practice address
8833 Reseda Blvd
Suite C
Northridge, CA 91324-4043
Phone
(818) 998-0008
Fax
(818) 998-0008
NPI assigned
Aug 27, 2006
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X B39032 CA Primary

Addresses

Primary practice location

8833 Reseda Blvd
Suite C
Northridge, CA 91324-4043

Mailing address

8833 Reseda Blvd
Suite C
Northridge, CA 91324-4043
Phone (818) 998-0008

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

State licenses

LicenseStateTypeSpecialty
B39032CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1740398171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 RESEDA BLVD",
            "address_2": "SUITE C",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244043",
            "telephone_number": "818-998-0008",
            "fax_number": "818-998-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 RESEDA BLVD",
            "address_2": "SUITE C",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244043",
            "telephone_number": "818-998-0008",
            "fax_number": "818-998-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "DENNIS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B39032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.