Randal J Leoni, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53239 Issued in CA

Practice address

31897 Del Obispo St Ste 100
San Juan Capistrano, CA 92675-3207

Phone

(949) 661-2290

Fax

(949) 661-8433

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Leoni Dental Corporation

  • General Practice Dentistry
  • San Juan Capistrano, CA
  • NPI 1912778960
  NPD Authorized official
• Rogers and Reagan Dental Corporation

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1275627051
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1821100256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31897 DEL OBISPO ST STE 100",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753207",
            "telephone_number": "949-661-2290",
            "fax_number": "949-661-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31897 DEL OBISPO ST STE 100",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753207",
            "telephone_number": "949-661-2290",
            "fax_number": "949-661-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONI",
        "first_name": "RANDAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Lee, OTR/L
• Mayge Lee
• Patricia Anita Lee, MFT
• Adam Lehaf
• Leoni Dental Corporation
• Madison Carly Levine, NP
• Kathleen Marie Levinson
• George Lewis
• Life Center for Health
• Life Spirit Speech Pathology Inc

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.

Verify at the official NPI Registry.