Active NPI
Denise Leong-Yokota, DMD
- Prosthodontics
- West Newton, MA
National Provider Identifier
1790834893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 20929
- Practice address
- 1306 Washington St
West Newton, MA 02465-2027 - Phone
- (617) 527-1600
- Fax
- (617) 527-8469
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 20929 | MA | Primary |
Addresses
Primary practice location
1306 Washington St
West Newton, MA 02465-2027
Mailing address
1306 Washington St
West Newton, MA 02465-2027
Phone (617) 527-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X10267 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618001998 | MA | Order and Referring Only - Other (Physician) | 0042521932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20929 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Newton Dental Associates LLC | 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 and National Provider Directory roles.
-
- Dentist
- West Newton, MA
- NPI 1588759542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790834893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 WASHINGTON ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024652027",
"telephone_number": "617-527-1600",
"fax_number": "617-527-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 WASHINGTON ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024652027",
"telephone_number": "617-527-1600",
"fax_number": "617-527-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG-YOKOTA",
"first_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "20929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X10267",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Newton, MA
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.