Active NPI
Maywell Lynn Leones Inong, D.D.S.
- Dentist
- Stockton, CA
National Provider Identifier
1992798342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46610
- Practice address
- 4568 Feather River Dr
Suite E.
Stockton, CA 95219-6508 - Phone
- (209) 477-9105
- Fax
- (209) 477-1526
- NPI assigned
- Aug 31, 2005
- Reactivated
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 46610 | CA | Primary |
Addresses
Primary practice location
4568 Feather River Dr
Suite E.
Stockton, CA 95219-6508
Mailing address
4568 Feather River Dr
Suite E.
Stockton, CA 95219-6508
Phone (209) 477-9105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150425000343 | CA | Order and Referring Only - Oral Surgery | 2860711835 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1992798342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4568 FEATHER RIVER DR",
"address_2": "SUITE E.",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952196508",
"telephone_number": "209-477-9105",
"fax_number": "209-477-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 FEATHER RIVER DR",
"address_2": "SUITE E.",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952196508",
"telephone_number": "209-477-9105",
"fax_number": "209-477-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INONG",
"first_name": "MAYWELL LYNN",
"middle_name": "LEONES",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2008-04-01",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
- Gabriela Inman
- Innovative Senior Rehabilitation Services Inc.
- Innovative Senior Rehabilitation Services Inc.
- Innovative Senior Rehabilitation Services, Inc.
- Raquel Leones Inong-Steptoe
- Robert Inoshita
- Scott R. Inoue, D.C.
- Insightful Connections Marriage and Family Therapy Professional Corp
- Integrated Pain Treatment Center
- Integrated Pathology Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.