Ryan Mackenzie Leong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110668 Issued in CA

Practice address

420 Peninsula Ave
San Mateo, CA 94401-1653

Phone

(650) 342-3597

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Leong Dental Inc

  • General Practice Dentistry
  • San Mateo, CA
  • NPI 1528983004
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1770318289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 26TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212904",
            "telephone_number": "415-816-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PENINSULA AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011653",
            "telephone_number": "650-342-3597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N San Mateo Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944012671",
            "country_code": "US",
            "telephone_number": "650-342-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "RYAN",
        "middle_name": "MACKENZIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Leonardo, RD
• Leong Dental Inc
• Donna L Leong, DDS
• Julie S Leong
• Roland Leong, DDS
• Wanda She-Kim Leong, D.D.S.
• Waymond Kim Leong, DDS
• Mariya A. Leontyeva, FNP-C
• Emily Irene Lepage-Wu, M.S., LEP, ABSNP
• Lerian Dental Corporation (Gentle Dental Hillsdale)

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.