Individual provider Active NPI

Hoang-Oanh Le, DDS

  • Periodontics
  • Lincoln, NE
National Provider Identifier
1093090888
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6829 Issued in NE
Practice address
1640 S 70TH St
Suite #200
Lincoln, NE 68506-1571
Phone
(402) 483-7631
Fax
(402) 483-1237
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6829 NE Primary

Addresses

Primary practice location

1640 S 70TH St
Suite #200
Lincoln, NE 68506-1571

Mailing address

1640 S 70TH St
Suite #200
Lincoln, NE 68506-1571
Phone (402) 483-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160429000300 NE Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810296621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6829NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Periodontics & Implant Dentistry PC Periodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1093090888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 S 70TH ST",
            "address_2": "SUITE #200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061571",
            "telephone_number": "402-483-7631",
            "fax_number": "402-483-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 S 70TH ST",
            "address_2": "SUITE #200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061571",
            "telephone_number": "402-483-7631",
            "fax_number": "402-483-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HOANG-OANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "6829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.