Miguel Deleon DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MIGUEL DELEON DMD INC

Practice address

324 N San Mateo Dr Ste 3
San Mateo, CA 94401-2999

Phone

(650) 342-6649

NPI assigned

Aug 7, 2021

Last updated

Aug 7, 2021By 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

Dr. Miguel Deleon, DMDNPI 1306465190

Title

President

Phone

(650) 342-6649

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Miguel Deleon, DMD

  • General Practice Dentistry
  • San Mateo, CA
  • NPI 1306465190
  NPD Authorized official
• Sarah Grace Britt

  • Dentist
  • Durham, NC
  • NPI 1205394863
  NPD
• Philip George Winters, D.D.S.

  • General Practice Dentistry
  • San Mateo, CA
  • NPI 1477573483
  NPD (past)

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1962176487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N SAN MATEO DR STE 3",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012999",
            "telephone_number": "650-342-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N SAN MATEO DR STE 3",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012999",
            "telephone_number": "650-342-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL DELEON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-342-6649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Michel, PSY.D.
• Mid Peninsula Eye Physicians & Surgeons Medical Group (Pacific Eye Specialists)
• Mid-Peninsula Orthopedic Medical Group, Inc
• Mid-Peninsula Orthopedic Medical Group, Inc.
• Midori Tachibana DDS Inc
• Carmina Miguel
• Jmyah R Miles
• Milikini Mel Milikini
• Julianne Dativa Millare
• Jeffrey Jay Millenson

• Dental Clinic/Center in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.