DR. JERRY WAYNE LEONARD, JR. D.M.D.
NPI 1548338684
Dentist in Portland, OR

Q: What is Jerry Leonard, Jr.'s NPI number?

The NPI number for Jerry Leonard, Jr. is 1548338684. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Jerry Leonard, Jr.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 30, 2006PECOS Enrolled

5329 NE M L KING BLVD, PORTLAND, OR 97211(503) 988-3664 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jerry Wayne Leonard, Jr. D.m.d. NPPES

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

DR. JERRY WAYNE LEONARD, JR. D.M.D. (NPI 1548338684) is an individual dentist in Portland, Oregon, licensed in Oregon (D7672) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548338684

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JERRY WAYNE LEONARD, JR.Credential: D.M.D.

Location Address5329 NE M L KING BLVDPortland, OR 97211-3237

Mailing Address25796 Sw Canyon Creek Rd, Apt D304Wilsonville, OR 97070-9659 · (503) 682-5612

Phone(503) 988-3664

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548338684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D7672

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5329 NE M L KING BLVD, Portland, OR 97211

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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. Jerry Wayne Leonard, Jr. D.m.d. 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 97211 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 2

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

DR. MARYANN MCCORMICK DMD

Dentist (General Practice)

5329 NE M L KING BLVD
PORTLAND, OR 97211

Multnomah County (503) 988-3664

NHATHI THI HOANG DMD

Dentist (General Practice)

5329 NE M L KING BLVD
PORTLAND, OR 97211

Multnomah County (503) 988-3664

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 Jerry Leonard, Jr.'s NPI number?

The NPI number for Jerry Leonard, Jr. is 1548338684. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jerry Leonard, Jr. located?

Jerry Leonard, Jr. practices at 5329 NE M L King Blvd, Portland, OR 97211. The listed phone number is (503) 988-3664.

What is Jerry Leonard, Jr.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerry Leonard, Jr. enrolled in Medicare?

Yes. Jerry Leonard, Jr. is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Leonard, Jr. 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.