Active NPI
Xavier Leos, D.D.S.
- General Practice Dentistry
- Brownsville, TX
National Provider Identifier
1881674794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19943
- Practice address
- 1800 Central Blvd
Brownsville, TX 78520-8331 - Phone
- (956) 542-4466
- NPI assigned
- Jan 18, 2006
- 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 | 19943 | TX | Primary |
Addresses
Primary practice location
1800 Central Blvd
Brownsville, TX 78520-8331
Mailing address
1800 Central Blvd
Brownsville, TX 78520-8331
Phone (956) 542-4466
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19943 | TX | MD | Professional Counselor |
Interoperability endpoints
- xavier.leosdds.p1@direct.bchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1881674794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CENTRAL BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785208331",
"telephone_number": "956-542-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CENTRAL BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785208331",
"telephone_number": "956-542-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOS",
"first_name": "XAVIER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.