Individual provider Active NPI

Leslie Allen Hoenig, DDS

  • Dentist
  • Sacremento, CA
National Provider Identifier
1881968113
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21314 Issued in CA
Practice address
2821 Eastern Ave
Suite 1
Sacremento, CA 95821
Phone
(916) 483-2900
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
Yes

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)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21314 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2821 Eastern Ave
Suite 1
Sacremento, CA 95821

Mailing address

9230 Bruceville Rd
Suite 1
Elk Grove, CA 95758
Phone (916) 683-6020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2012.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1881968113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 BRUCEVILLE RD",
            "address_2": "SUITE 1",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "916-683-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 EASTERN AVE",
            "address_2": "SUITE 1",
            "city": "SACREMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "916-483-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOENIG",
        "first_name": "LESLIE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "21314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacremento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.