Organization Active NPI

Han M Le DMD PC

  • General Practice Dentistry
  • Dorchester, MA
National Provider Identifier
1053976720
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HAN M LE DMD PC
Practice address
1510 Dorchester Ave
Dorchester, MA 02122-1327
Phone
(617) 288-7600
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Han Le, DMD
Title
President
Phone
(617) 288-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1510 Dorchester Ave
Dorchester, MA 02122-1327

Mailing address

1510 Dorchester Ave
Dorchester, MA 02122-1327
Phone (617) 288-7600

Other identifiers 1

IdentifierTypeStateIssuer
110011375AMedicaidMA

National Provider Directory

National Provider Directory

Locations

1510 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-7600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1053976720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221327",
            "telephone_number": "617-288-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221327",
            "telephone_number": "617-288-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN M LE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-288-7600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110011375A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.