Individual provider Active NPI

Joseph Richard Leon, D.M.D.

  • General Practice Dentistry
  • Mayfield Heights, OH
National Provider Identifier
1760566798
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21226 Issued in OH
Practice address
6009 Landerhaven Dr Ste E
Mayfield Heights, OH 44124-4192
Phone
(440) 720-0544
Fax
(440) 720-0846
NPI assigned
Oct 25, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 21226 OH Primary

Addresses

Primary practice location

6009 Landerhaven Dr Ste E
Mayfield Heights, OH 44124-4192

Mailing address

6009 Landerhaven Dr Ste E
Mayfield Heights, OH 44124-4192
Phone (440) 720-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013158 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577878925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21226OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William F. Lavigna DDS Inc General Practice Past Accepting new patients

Organizations & group practices 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1760566798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR STE E",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-720-0544",
            "fax_number": "440-720-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR STE E",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-720-0544",
            "fax_number": "440-720-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.