Active NPI
Leonard Tom, D.D.S.
- General Practice Dentistry
- Belmont, MA
National Provider Identifier
1922095942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14775
- Practice address
- 385 Concord Ave
Suite 001
Belmont, MA 02478-3083 - Phone
- (617) 484-1920
- Fax
- (617) 484-1862
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14775 | MA | Primary |
Addresses
Primary practice location
385 Concord Ave
Suite 001
Belmont, MA 02478-3083
Mailing address
385 Concord Ave
Suite 001
Belmont, MA 02478-3083
Phone (617) 484-1920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14775 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1922095942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CONCORD AVE",
"address_2": "SUITE 001",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783083",
"telephone_number": "617-484-1920",
"fax_number": "617-484-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 CONCORD AVE",
"address_2": "SUITE 001",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783083",
"telephone_number": "617-484-1920",
"fax_number": "617-484-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.