Individual provider Active NPI

Kenia Giselle Leon, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1902796402
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D012584 Issued in AZ
Practice address
3425 W Thunderbird Rd Ste 13
Phoenix, AZ 85053-5670
Phone
(480) 916-7447
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012584 AZ Primary

Addresses

Primary practice location

3425 W Thunderbird Rd Ste 13
Phoenix, AZ 85053-5670

Mailing address

23350 N 23Rd Ave Unit 7036
Phoenix, AZ 85027-0029
Phone (928) 920-7143

Other practice location 1

7710 W Lower Buckeye Rd Ste 120
Phoenix, AZ 85043-3439
Phone (623) 387-9101

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

State licenses

LicenseStateTypeSpecialty
D012584AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thunderbird Dental and Orthodontics PLLC CurrentSince Jul 13, 2025 Accepting new patients
Phoenix Dental and Orthodontics, PLLC PastSince Sep 20, 2022 Accepting new patients

Locations

3425 W Thunderbird Rd
Ste 13
Phoenix, AZ 85053
Phone (480) 916-7447

8505 Freeport Pkwy
Ste 600
Irving, TX 75063
Phone (346) 561-3825

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1902796402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23350 N 23RD AVE UNIT 7036",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850270029",
            "telephone_number": "928-920-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 W THUNDERBIRD RD STE 13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535670",
            "telephone_number": "480-916-7447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 W Lower Buckeye Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850433439",
            "country_code": "US",
            "telephone_number": "623-387-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "KENIA",
        "middle_name": "GISELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.