Organization Active NPI

Anh Q.T. Le,Professional Dental Corp.

  • Dentist
  • San Jose, CA
National Provider Identifier
1114162997
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42562 Issued in CA
Legal business name
ANH Q.T. LE,PROFESSIONAL DENTAL CORP.
Practice address
1721 Story Rd
San Jose, CA 95122-1922
Phone
(408) 929-9977
Fax
(408) 929-7999
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Anh Q.T. Le
Title
Dr.
Phone
(408) 929-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 42562 CA Primary

Addresses

Primary practice location

1721 Story Rd
San Jose, CA 95122-1922

Mailing address

1721 Story Rd
San Jose, CA 95122-1922
Phone (408) 929-9977

National Provider Directory

National Provider Directory
Tax ID family
Anh Q T Le Professional Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1114162997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221922",
            "telephone_number": "408-929-9977",
            "fax_number": "408-929-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221922",
            "telephone_number": "408-929-9977",
            "fax_number": "408-929-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH Q.T. LE,PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "Q.T.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "408-929-9977"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.