Individual provider Active NPI

Colleen Gong Leong, DDS, MSD

  • Periodontics
  • Greenwood Village, CO
National Provider Identifier
1902418726
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
00204501 Issued in CO
Practice address
7447 E Berry Ave Ste 230
Greenwood Village, CO 80111-2107
Phone
(303) 741-3300
Fax
(303) 694-6270
NPI assigned
Aug 21, 2020
Last updated
Apr 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00204501 CO
Periodontics 1223P0300X 00204501 CO Primary

Addresses

Primary practice location

7447 E Berry Ave Ste 230
Greenwood Village, CO 80111-2107

Mailing address

7447 E Berry Ave Ste 230
Greenwood Village, CO 80111-2107
Phone (303) 741-3300

Other practice location 1

13065 E 17th Ave
Aurora, CO 80045-2532
Phone (720) 900-5088

Other practice location 2

2979 Iola St
Denver, CO 80238-3193
Phone (720) 703-9116

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Colleen.Leong@CUAnschutz.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925001986 CO Order and Referring Only - DentistPractitioner - Dentist 6002260080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00204501COMDDentist
00204501COMDPeriodontist

Interoperability endpoints

  • Direct secure messaging: colleen.leong@cuanschutz.edu

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1902418726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE STE 230",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112107",
            "telephone_number": "303-741-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE STE 230",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112107",
            "telephone_number": "303-741-3300",
            "fax_number": "303-694-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13065 E 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452532",
            "country_code": "US",
            "telephone_number": "720-900-5088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2979 Iola St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802383193",
            "country_code": "US",
            "telephone_number": "720-703-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "COLLEEN",
        "middle_name": "GONG",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204501",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00204501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Colleen.Leong@CUAnschutz.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13065 E 17th Ave",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800452532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.