Individual provider Active NPI

Kha Dang Le Jr., DMD

  • Dentist
  • Westminster, CA
National Provider Identifier
1003847955
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41453 Issued in CA
Practice address
9900 McFadden Ave
#101
Westminster, CA 92683-6978
Phone
(714) 531-5770
Fax
(714) 531-1427
NPI assigned
Jul 6, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41453 CA Primary

Addresses

Primary practice location

9900 McFadden Ave
#101
Westminster, CA 92683-6978

Mailing address

9900 McFadden Ave
#101
Westminster, CA 92683-6978
Phone (714) 531-5770

Other identifiers 1

IdentifierTypeStateIssuer
G9262101OtherCADENTI CAL

Other names 1

  • Dr. Patrick Le Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715002580 CA Order and Referring Only - DentistPractitioner - Dentist 0244543569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kha D Le Dental Corp. Current Accepting new patients
Kha D Le Dental Corp Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1003847955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE",
            "address_2": "#101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-531-5770",
            "fax_number": "714-531-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE",
            "address_2": "#101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-531-5770",
            "fax_number": "714-531-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KHA",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "G9262101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "LE",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.