Organization Active NPI

Richard Wilson Leong Jr DDS PA

  • General Practice Dentistry
  • Melbourne, FL
National Provider Identifier
1821637638
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD WILSON LEONG JR DDS PA
Practice address
400 S Babcock St
Melbourne, FL 32901-1214
Phone
(321) 723-7255
Fax
(321) 768-9643
NPI assigned
Dec 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Richard Wilson Leong, DDSNPI 1023220803
Title
Dentist
Phone
(321) 723-7255

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

400 S Babcock St
Melbourne, FL 32901-1214

Mailing address

400 S Babcock St
Melbourne, FL 32901-1214
Phone (321) 723-7255

National Provider Directory

National Provider Directory

Locations

400 S Babcock St
Melbourne, FL 32901
Phone (321) 723-7255

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": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1821637638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011214",
            "telephone_number": "321-723-7255",
            "fax_number": "321-768-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011214",
            "telephone_number": "321-723-7255",
            "fax_number": "321-768-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WILSON LEONG JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-723-7255",
        "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 Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.