NPIMap

Organization Active NPI

Nicole Van Le, DDS, LLC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1083919625
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010056 Issued in IN
Legal business name
NICOLE VAN LE, DDS, LLC
Practice address
9105 E 56TH St
Indianapolis, IN 46216-2229
Phone
(317) 442-5411
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dr. Nicole Le, DDSNPI 1841594918
Title
Owner and Member
Phone
(317) 442-5411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12010056 IN Primary

Addresses

Primary practice location

9105 E 56TH St
Indianapolis, IN 46216-2229

Mailing address

11623 Cannington Cir
Fishers, IN 46037-4398
Phone (317) 442-5411

National Provider Directory

National Provider Directory

Locations

9105 E 56th St
Indianapolis, IN 46216
Phone (317) 442-5411

Practitioners & affiliated clinicians

Practitioners 1

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": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1083919625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 CANNINGTON CIR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374398",
            "telephone_number": "317-442-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 E 56TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162229",
            "telephone_number": "317-442-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE VAN LE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER AND MEMBER",
        "authorized_official_telephone_number": "317-442-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.