Leander Periodontica PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

20343 Issued in TX

Legal business name

LEANDER PERIODONTICA PA

Practice address

2301 Bagdad Rd Ste 201
Cedar Park, TX 78613-6501

Phone

(512) 337-2578

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan R. Callia, D.D.S., M.S.

Title

Doctor

Phone

(512) 337-2578

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Safeyeldin Elhusseini Mohamed Ahmed, BDS,MS

  • Periodontics
  • Cedar Park, TX
  • NPI 1841833696
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1982155297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BAGDAD RD STE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136501",
            "telephone_number": "512-337-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BAGDAD RD STE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136501",
            "telephone_number": "512-337-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANDER PERIODONTICA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "CALLIA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "512-337-2578",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "20343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony William Lauretta, DPT
• Jacqueline Lyn Lawrence
• Kelsey Laws, DPT
• Richard W. Lawson, M.D.
• Kim Le
• David-Michael Leandro
• Zachary Lebid, PA-C
• David Benjamin Lee, PA-S
• Josie Lee, RBT
• Jung Min Lee, OD

• Periodontics in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.