Leoni Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEONI DENTAL CORPORATION

Doing business as

Coastline Dental

Practice address

31897 Del Obispo St Ste 100
San Juan Capistrano, CA 92675-3207

Phone

(760) 500-6197

NPI assigned

Jan 9, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randal Leoni, DMDNPI 1821100256

Title

Owner Dentist

Phone

(760) 500-6197

Specialties & licenses 1

Addresses

Other names 1

• Coastline Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randal J Leoni, DMD

  • General Practice Dentistry
  • San Juan Capistrano, CA
  • NPI 1821100256
  NPD Authorized official

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1912778960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31897 DEL OBISPO ST STE 100",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753207",
            "telephone_number": "949-661-2290",
            "fax_number": "949-661-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31897 DEL OBISPO ST STE 100",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753207",
            "telephone_number": "760-500-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "LEONI",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "760-500-6197",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Sofie Lassen Foley
• Jennifer Marie Lee, OTR/L
• Mayge Lee
• Patricia Anita Lee, MFT
• Adam Lehaf
• Randal J Leoni, DMD
• Madison Carly Levine, NP
• Kathleen Marie Levinson
• George Lewis
• Life Center for Health

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.