Active NPI
David J Leong, D.M.D.
- General Practice Dentistry
- Antioch, CA
National Provider Identifier
1801015813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38553
- Practice address
- 2642B Somersville Rd
Antioch, CA 94509-4428 - Phone
- (925) 778-4600
- Fax
- (925) 777-2061
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 16, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38553 | CA | Primary |
Addresses
Primary practice location
2642B Somersville Rd
Antioch, CA 94509-4428
Mailing address
3033 Miwok Way
Clayton, CA 94517-2004
Phone (925) 672-7093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38553 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somersville Dental | General Practice | Past | Accepting new patients |
Interoperability endpoints
- dleong@montefioredirect.com
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.
-
- General Practice Dentistry
- Antioch, CA
- NPI 1801237912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1801015813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 MIWOK WAY",
"city": "CLAYTON",
"state": "CA",
"postal_code": "945172004",
"telephone_number": "925-672-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2642B SOMERSVILLE RD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094428",
"telephone_number": "925-778-4600",
"fax_number": "925-777-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.