Individual provider Active NPI

Cristina M Leon-Pineda, DMD, MPH, MSDS

  • Dentist
  • Auburn, WA
National Provider Identifier
1962754358
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60310679 Issued in WA
Practice address
126 Auburn Ave Ste 100
Auburn, WA 98002-5082
Phone
(253) 804-8713
Fax
(253) 804-8755
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 34289 TX
Pediatric Dentistry 1223P0221X DEN.00204868 CO
Dentist 122300000X DE60310679 WA Primary

Addresses

Primary practice location

126 Auburn Ave Ste 100
Auburn, WA 98002-5082

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cleonpineda20220@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218003820 WA Practitioner - Dentist 8628375540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60310679WAMDDentist
DEN.00204868COMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Jan 2, 2024 Accepting new patients
Healthpoint CurrentSince Jan 2, 2024 Accepting new patients
Healthpoint Current Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

Interoperability endpoints

  • Direct secure messaging: cristina.leonpineda.p3@direct.hpc.nextgenshare.com

Organizations & group practices 4

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1962754358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AUBURN AVE STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025082",
            "telephone_number": "253-804-8713",
            "fax_number": "253-804-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON-PINEDA",
        "first_name": "CRISTINA",
        "middle_name": "M",
        "credential": "DMD, MPH, MSDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "34289",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00204868",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60310679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cleonpineda20220@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "126 Auburn Ave Ste 100",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980025082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.