Phu Le, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63719 Issued in CA

Practice address

650 International Blvd
Oakland, CA 94606-2986

Phone

(510) 836-4755

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By the provider in NPPES

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

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.

• Phu Thanh Thien Le, DDS Dental Corp

  dba Little Gold Fish Children's Dentistry

  • Dental Clinic/Center
  • Oakland, CA
  • NPI 1992359061
  Authorized official Same address or phone

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1073912044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 19TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946064153",
            "telephone_number": "510-517-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062986",
            "telephone_number": "510-836-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Le, LVN
• Marie Le
• Nhi Thi Minh Le
• Patricia Gail Le, R.D., C.N.S.C.
• Peter T. Le, MD
• Sidney Thanh-Liem Le, M.D.
• Thao Thi Thu Le, RN
• Thuy Le, MD
• Truc Hong Le, CRNA
• Tuong-VI Hoang Le, DOCTOR OF OPTOMETRY

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.