TIMOTHY LEETRAKUL
NPI 1932343647
Dentist in North Hollywood, CA

Q: What is Timothy Leetrakul's NPI number?

The NPI number for Timothy Leetrakul is 1932343647. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Q: What is Timothy Leetrakul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Leetrakul was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 24, 2009PECOS Enrolled

12643 SHERMAN WAY STE D, NORTH HOLLYWOOD, CA 91605(818) 765-3534(818) 765-3534 Get Directions Write a Review

NPPES record last updated: April 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy Leetrakul NPPES

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

TIMOTHY LEETRAKUL (NPI 1932343647) is an individual dentist in North Hollywood, California, licensed in California (58017) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932343647

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTIMOTHY LEETRAKUL

Location Address12643 SHERMAN WAY STE DNorth Hollywood, CA 91605-5271

Mailing Address12643 Sherman Way Ste DNorth Hollywood, CA 91605-5271 · (818) 765-3534 · Fax (818) 765-3534

Phone(818) 765-3534

Fax(818) 765-3534

Sole ProprietorYes

Enumeration DateApril 24, 2009

✔ NPI 1932343647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 58017

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.

12643 SHERMAN WAY STE D, North Hollywood, CA 91605

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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)

Timothy Leetrakul 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 91605 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

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

TIMOTHY LEETRAKUL DDS DENTAL CORPORATION

Dentist (General Practice)

12643 SHERMAN WAY STE D
NORTH HOLLYWOOD, CA 91605

Los Angeles County (818) 765-3534

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 Timothy Leetrakul's NPI number?

The NPI number for Timothy Leetrakul is 1932343647. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Where is Timothy Leetrakul located?

Timothy Leetrakul practices at 12643 Sherman Way Ste D, North Hollywood, CA 91605. The listed phone number is (818) 765-3534.

What is Timothy Leetrakul's specialty?

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

Is Timothy Leetrakul enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Leetrakul was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.