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DR. KANCHANA LEETRAKUL D.D.S.
NPI 1205048782
Dentist - General Practice in Downey, CA

Active since May 04, 2007PECOS Enrolled
10909 LAKEWOOD BLVD, DOWNEY, CA 90241(562) 869-8177(562) 869-8177 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kanchana Leetrakul D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KANCHANA LEETRAKUL D.D.S. (NPI 1205048782) is an individual general practice provider in Downey, California, licensed in California (31652) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205048782
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KANCHANA LEETRAKULCredential: D.D.S.
Location Address10909 LAKEWOOD BLVDDowney, CA 90241-3808
Mailing Address10909 Lakewood BlvdDowney, CA 90241-3808 · (562) 869-8177 · Fax (562) 869-8177
Phone(562) 869-8177
Fax(562) 869-8177
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205048782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 31652
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10909 LAKEWOOD BLVD, Downey, CA 90241
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kanchana Leetrakul D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHALAN LEETRAKUL D.D.S.
Dentist (General Practice)
10909 LAKEWOOD BLVD
DOWNEY, CA 90241
Los Angeles County (562) 869-8177
DR. KASIDIT SUWANTAMEY DDS
Dentist (General Practice)
10909 LAKEWOOD BLVD
DOWNEY, CA 90241
Los Angeles County (562) 869-8177
DR. SUPATTRA SUPATANASINKASEM D.D.S.
Dentist (General Practice)
10909 LAKEWOOD BLVD
DOWNEY, CA 90241
Los Angeles County (562) 869-8177
LEETRAKUL&SUWANTAMEY DENTAL PRACTICE
Dentist (General Practice)
10909 LAKEWOOD BLVD
DOWNEY, CA 90241
Los Angeles County (562) 869-8177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanchana Leetrakul's NPI number?

The NPI number for Kanchana Leetrakul is 1205048782. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Kanchana Leetrakul located?

Kanchana Leetrakul practices at 10909 Lakewood Blvd, Downey, CA 90241. The listed phone number is (562) 869-8177.

What is Kanchana Leetrakul's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kanchana Leetrakul enrolled in Medicare?

Yes. Kanchana Leetrakul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanchana Leetrakul was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.