Dr. Vivian Le DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. VIVIAN LE DDS, INC

Practice address

1774 S Broadway
Santa Maria, CA 93454-7604

Phone

(303) 475-4479

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Le, DDSNPI 1114633062

Title

Owner

Phone

(303) 475-4479

Specialties & licenses 1

Addresses

Practitioners 1

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

• Vivian Le, DDS

  • Dentist
  • Santa Maria, CA
  • NPI 1114633062
  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1083464986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 INGER DR UNIT M120",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548606",
            "telephone_number": "303-475-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547604",
            "telephone_number": "303-475-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VIVIAN LE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-475-4479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Stephanie Foster, PHD, Otr/L
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• Amanda Christine Dueck
• Michael Anthony Duenas, MS, BCBA

• General Practice Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.