Leon Yu Liang Su, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI25123 Issued in NJ

Practice address

633 Central Ave Apt 2
Harrison, NJ 07029-1216

Phone

(714) 510-1737

NPI assigned

Aug 15, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1881941300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 CENTRAL AVE APT 2",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291216",
            "telephone_number": "714-510-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 CENTRAL AVE APT 2",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291216",
            "telephone_number": "714-510-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "LEON",
        "middle_name": "YU LIANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI25123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith ABA Therapy
• Lateffa Marie Smith
• Shivangi N Solanki, PHARMD
• Anismary Sosa Llull, DMD
• Peter Sous, RPH
• Gregory James Szelest, DMD
• Christelle Theodore
• Whitney Thomas, SLP
• Town of Harrison
• Joseph Kinhsing Tsai, L.AC.

• General Practice Dentistry in Harrison, NJ
• Providers in Harrison, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.