Angelica Leano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034654 Issued in IL

Practice address

729 Crab Tree LN
Bartlett, IL 60103-2115

Phone

(630) 402-7479

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairfax Modern Dentistry, PC

  • Dentist
  • Fairfax, VA
  • NPI 1174011191
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1891470985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 CRAB TREE LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032115",
            "telephone_number": "630-402-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 CRAB TREE LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032115",
            "telephone_number": "630-402-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANO",
        "first_name": "ANGELICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418420",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reshma Joshi Lagomarcino, L.C.P.C.
• Samuel Solomon Lake, M.D.
• Joseph Lange
• Lauren a Weitz DDS in
• Graham Lawless, NP
• Josefina Leautaud, M.S. SLP
• Renee Ann Lloyd, COTA/L
• Elizabeth Long, COMS
• Karen Low, LCPC
• Luxottica Retail North America Inc

• General Practice Dentistry in Bartlett, IL
• Providers in Bartlett, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.