Individual provider Active NPI

Yenchi Le, DDS

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1083693030
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19443 Issued in TX
Practice address
305 W Spring Creek Pkwy
#100
Plano, TX 75023-4626
Phone
(972) 312-1840
Fax
(972) 412-1851
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19443 TX Primary

Addresses

Primary practice location

305 W Spring Creek Pkwy
#100
Plano, TX 75023-4626

Mailing address

305 W Spring Creek Pkwy
#100
Plano, TX 75023-4626
Phone (972) 312-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160223001323 TX Order and Referring Only - DentistPractitioner - Dentist 1254636640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1083693030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SPRING CREEK PKWY",
            "address_2": "#100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234626",
            "telephone_number": "972-312-1840",
            "fax_number": "972-412-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SPRING CREEK PKWY",
            "address_2": "#100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234626",
            "telephone_number": "972-312-1840",
            "fax_number": "972-412-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "YENCHI",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.