Individual provider Active NPI

Denise Leong-Yokota, DMD

  • Prosthodontics
  • West Newton, MA
National Provider Identifier
1790834893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
20929 Issued in MA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
X10267OtherMABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001998 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0042521932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20929MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.