DR. LEROY DIMITRIOS HORTON III DDS
NPI 1578763249
Dentist - Periodontics in Tacoma, WA

Active since July 20, 2007PECOS Enrolled
1901 S UNION AVE, B3008, TACOMA, WA 98405(253) 572-9777 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 30, 2026, Jul 7, 2026 (2 updates tracked since 2026).

About Dr. Leroy Dimitrios Horton Iii Dds NPPES

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

DR. LEROY DIMITRIOS HORTON III DDS (NPI 1578763249) is an individual periodontics provider in Tacoma, Washington, licensed in Washington (DENT.DE.00011048) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578763249
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. LEROY DIMITRIOS HORTON IIICredential: DDS
Location Address1901 S UNION AVE, B3008Tacoma, WA 98405-1702
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395
Sole ProprietorYes
Enumeration DateJuly 20, 2007
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1578763249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · DENT.DE.00011048
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DENT.DE.00011048 (WA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DENT.DE.00011048 (WA)
1901 S UNION AVE, Tacoma, WA 98405

Secondary Practice Locations 2

Location 11112 S Cushman AveTacoma, WA 98405-3631 · Phone (253) 682-2860 · Fax (253) 682-2191
Location 26351 W Rio Grande AveKennewick, WA 99336-7634 · Phone (509) 579-5830

Other Identifiers 2

Medicaid1044821WA
Medicaid5053947WA

Accepted Insurance

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. Leroy Dimitrios Horton Iii Dds 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 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

Eyewear Supplier
1901 S UNION AVE, SUITE B-1001
TACOMA, WA 98405
Allergy & Immunology (Clinical & Laboratory Immunology)
1901 S UNION AVE, STE B-6010
TACOMA, WA 98405
Pharmacist
1901 S UNION AVE, SUITE A-201
TACOMA, WA 98405
Pharmacist
1901 S UNION AVE
TACOMA, WA 98405
Internal Medicine
1901 S UNION AVE, STE A-114
TACOMA, WA 98405
Specialist
1901 S UNION AVE
TACOMA, WA 98405
Dietitian, Registered
1901 S UNION AVE
TACOMA, WA 98405
Behavior Technician
1901 S UNION AVE
TACOMA, WA 98405

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 Leroy Horton's NPI number?

The NPI number for Leroy Horton is 1578763249. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Leroy Horton located?

Leroy Horton practices at 1901 S Union Ave B3008, Tacoma, WA 98405. The listed phone number is (253) 572-9777.

What is Leroy Horton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Leroy Horton enrolled in Medicare?

Yes. Leroy Horton is registered in the Medicare PECOS enrollment system.

What insurance does Leroy Horton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Leroy Horton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leroy Horton was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.