Jimmy Le, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30277 Issued in TX

Practice address

11540 Magnolia Pkwy Ste E
Manvel, TX 77578-1649

Phone

(832) 274-0566

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Le Dental Care PLLC

  dba Pomona Dental

  • General Practice Dentistry
  • Manvel, TX
  • NPI 1508371170
  NPD Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1013323146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 MAGNOLIA PKWY STE E",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781649",
            "telephone_number": "832-274-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 MAGNOLIA PKWY STE E",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781649",
            "telephone_number": "832-274-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Marie Knox, D.D.S.
• Rachel Kossar
• Kpa Services, Inc.
• Stephanie Elaine Kuester, M.A., NMT, MT-BC
• Le Dental Care PLLC (Pomona Dental)
• Jalisa Lewis
• Patrick D Lewis, CTRS
• Tiffny Marie Lewis, BSW, MSW
• Lighthearted Care and Wellness LLC
• Julie Dawn Limon, PT

• General Practice Dentistry in Manvel, TX
• Providers in Manvel, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.