Individual provider Active NPI

Jeanne Oanh Le, DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1003546060
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.033670 Issued in IL
Practice address
2016 S Michigan Ave
Chicago, IL 60616-1707
Phone
(312) 929-4783
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.033670 IL Primary

Addresses

Primary practice location

2016 S Michigan Ave
Chicago, IL 60616-1707

Mailing address

2016 S Michigan Ave
Chicago, IL 60616-1707
Phone (847) 910-4655

Other practice location 1

1229 N Ashland Ave
Chicago, IL 60622-2204
Phone (773) 252-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.033670ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ogando DDS LLC CurrentSince Jun 5, 2022 Accepting new patients
Dr Bin Yang, DMD, LTD General Practice CurrentSince Feb 19, 2023 Accepting new patients
West Town Dental Group PastSince Jun 1, 2022 Accepting new patients

Locations

1229 N Ashland Ave
Chicago, IL 60622
Phone (773) 252-5772

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1003546060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161707",
            "telephone_number": "847-910-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161707",
            "telephone_number": "312-929-4783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 N Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222204",
            "country_code": "US",
            "telephone_number": "773-252-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JEANNE",
        "middle_name": "OANH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.