Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255818597 Individual Practitioner Male Practitioner

Dr. Kyle Brandon Leis , DDS

Dentist • Anaheim, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Leis, DDS is a registered healthcare professional specializing in Dentist in Anaheim, CA. Practice services are available at 330 E ORANGEWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

330 E Orangewood Ave

Anaheim, CA 928024313

Telephone 7147162584
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Anaheim, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
120 Specialists

Practicing in Anaheim, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 102774

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 35005

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License MP 0159

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.

Secondary Practice Locations

725 W La Veta Ave Ste 260

Orange, CA 928684439

Phone: 7147718006

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Victor Rodriguez , FNP

Nurse Practitioner - Family

NPI 1093107732

Family Nurse Practitioner

NPI 1316328875

Doctor of Osteopathic Medicine (D.O.)

Dr. Morgan Mandigo , MD

Obstetrics & Gynecology

NPI 1316334600

Doctor of Medicine (M.D.)

Monica Mejia Ruvalcaba , LVN

Licensed Vocational Nurse

NPI 1356102180

Licensed Vocational Nurse

Samantha Barrera

Case Manager/Care Coordinator

NPI 1447020110
Alexandria Arcilla , NP

Nurse Practitioner - Family

NPI 1669150561

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location May 30, 2023

Registered at 330 E ORANGEWOOD AVE, ANAHEIM, CA 928024313 (Tel: 7147162584)

📍
Updated Business Mailing Address May 30, 2023

Registered at 330 E ORANGEWOOD AVE, ANAHEIM, CA 928024313 (Tel: 7147162584)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2023

Dentist (License #35005 in TX)

📍
Updated Practice Location February 17, 2021

Registered at 300 HARTLE CT, NAPA, CA 945594078 (Tel: 7072541775)

📍
Updated Business Mailing Address February 17, 2021

Registered at 300 HARTLE CT, NAPA, CA 945594078 (Tel: 7072541775)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2021

Dentist (License #102774 in CA)

📍
Updated Practice Location July 23, 2019

Registered at 1 QUARTERMASTER ROAD, SAIPAN, MP 96950 (Tel: 6702346323)

📍
Updated Business Mailing Address July 23, 2019

Registered at PO BOX 500169, SAIPAN, MP 969500169 (Tel: 6702346323)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Dentist (License #0159 in MP)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2019

Dentist (License #35005 in TX)

NPI Profile Active July 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2018

Registered at 1806 ORANGE TREE LN STE B, REDLANDS, CA 923744574 (Tel: 9093351166)

📍
Updated Business Mailing Address July 19, 2018

Registered at 1806 ORANGE TREE LN STE B, REDLANDS, CA 923744574

👤
Provider Name / Credentials Updated July 19, 2018

Recorded as KYLE LEIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

Dentist (License #102774 in CA)

🟢
Initial NPI Registration & Enumeration July 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255818597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2018
Last Update: May 30, 2023
Sole Proprietor: No

Mailing Address

330 E Orangewood Ave

Anaheim, CA 928024313

Phone: 7147162584

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.