Active NPI
Salvatore Anthony Leone, DDS
- Periodontics
- Everett, WA
National Provider Identifier
1932235116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE00005903
- Practice address
- 10814 19TH Ave SE
Everett, WA 98208-5153 - Phone
- (425) 337-4734
- Fax
- (425) 316-8652
- NPI assigned
- Feb 24, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE00005903 | WA | Primary |
Addresses
Primary practice location
10814 19TH Ave SE
Everett, WA 98208-5153
Mailing address
13440 NE 148TH St
Woodinville, WA 98072-4612
Phone (425) 478-7181
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 |
|---|---|---|---|
| DE00005903 | WA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graig Erickson, D.D.S., M.S.D., PLLC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Everett, WA
- NPI 1649674706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932235116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13440 NE 148TH ST",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980724612",
"telephone_number": "425-478-7181",
"fax_number": "425-896-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10814 19TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085153",
"telephone_number": "425-337-4734",
"fax_number": "425-316-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "SALVATORE",
"middle_name": "ANTHONY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE00005903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.