DR. DANIEL KRUK-LEAHY DDS, MS
NPI 1588288138
Dentist - Periodontics in Newport Beach, CA

Active since May 29, 2020PECOS Enrolled
1401 AVOCADO AVE STE 404, NEWPORT BEACH, CA 92660(213) 364-9120 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel Kruk-leahy Dds, Ms NPPES

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

DR. DANIEL KRUK-LEAHY DDS, MS (NPI 1588288138) is an individual periodontics provider in Newport Beach, California, licensed in California (106402) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588288138
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DANIEL KRUK-LEAHYCredential: DDS, MS
Location Address1401 AVOCADO AVE STE 404Newport Beach, CA 92660-7783
Mailing Address8809 Washington Blvd Apt 410Culver City, CA 90232-4211 · (213) 364-9120
Sole ProprietorNo
Enumeration DateMay 29, 2020
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
NPI 1588288138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 106402
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.

1401 AVOCADO AVE STE 404, Newport Beach, CA 92660

Other Identifiers 1

Medicaid97706578F90105CA

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. Daniel Kruk-leahy Dds, Ms 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 92660 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 2

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

Dentist
1401 AVOCADO AVE STE 404
NEWPORT BEACH, CA 92660
Dentist (General Practice)
1401 AVOCADO AVE STE 404
NEWPORT BEACH, CA 92660

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 Daniel Kruk-leahy's NPI number?

The NPI number for Daniel Kruk-leahy is 1588288138. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Daniel Kruk-leahy located?

Daniel Kruk-leahy practices at 1401 Avocado Ave Ste 404, Newport Beach, CA 92660. The listed phone number is (213) 364-9120.

What is Daniel Kruk-leahy's specialty?

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

Is Daniel Kruk-leahy enrolled in Medicare?

Yes. Daniel Kruk-leahy is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Kruk-leahy accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Daniel Kruk-leahy 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 Daniel Kruk-leahy was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.