NPIMap

Organization Active NPI

Somersville Dental

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1801237912
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOMERSVILLE DENTAL
Practice address
2642B Somersville Rd
Antioch, CA 94509-4428
Phone
(925) 778-4600
Fax
(925) 778-8705
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. David J Leong, DDSNPI 1801015813
Title
Owner
Phone
(925) 778-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2642B Somersville Rd
Antioch, CA 94509-4428

Mailing address

2642B Somersville Rd
Antioch, CA 94509-4428
Phone (925) 778-4600

National Provider Directory

National Provider Directory

Locations

2642B Somersville Rd
Antioch, CA 94509
Phone (925) 778-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1801237912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642B SOMERSVILLE RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094428",
            "telephone_number": "925-778-4600",
            "fax_number": "925-778-8705"
        },
        {
            "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": "925-778-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSVILLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-778-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 17, 2013; 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.