Active NPI
Leonard Huston Smith, D.D.S.
- Dentist
- San Jose, CA
National Provider Identifier
1770613382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27072
- Practice address
- 827 Blossom Hill Rd
Ste. E-1
San Jose, CA 95123-2701 - Phone
- (408) 224-1133
- Fax
- (408) 224-4804
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27072 | CA | Primary |
Addresses
Primary practice location
827 Blossom Hill Rd
Ste. E-1
San Jose, CA 95123-2701
Mailing address
827 Blossom Hill Rd
Ste. E-1
San Jose, CA 95123-2701
Phone (408) 224-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130109000681 | CA | Practitioner - Oral Surgery | 0941453518 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27072 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel T. Lee Dental Corporation | Past | Accepting new patients | |
| Aldon J. Hilton DDS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Customized Equipment (DME)
- San Jose, CA
- NPI 1760795678
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1164113072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770613382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 BLOSSOM HILL RD",
"address_2": "STE. E-1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951232701",
"telephone_number": "408-224-1133",
"fax_number": "408-224-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 BLOSSOM HILL RD",
"address_2": "STE. E-1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951232701",
"telephone_number": "408-224-1133",
"fax_number": "408-224-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEONARD",
"middle_name": "HUSTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "27072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.