Organization Active NPI

Luan T. Le, D.D.S. , Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1124201181
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39029 Issued in CA
Legal business name
LUAN T. LE, D.D.S. , INC.
Practice address
3151 S White Rd
Suite 204
San Jose, CA 95148-4045
Phone
(408) 270-1120
Fax
(408) 270-1026
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Luan T Le, D.D.S.
Title
Dentist
Phone
(408) 270-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39029 CA Primary

Addresses

Primary practice location

3151 S White Rd
Suite 204
San Jose, CA 95148-4045

Mailing address

3151 S White Rd
Suite 204
San Jose, CA 95148-4045
Phone (408) 270-1120

Other identifiers 1

IdentifierTypeStateIssuer
G8968901OtherDENTI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Family Dentistry2 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": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1124201181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD",
            "address_2": "SUITE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-270-1120",
            "fax_number": "408-270-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD",
            "address_2": "SUITE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-270-1120",
            "fax_number": "408-270-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUAN T. LE, D.D.S. , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LUAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-270-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G8968901",
            "state": null
        }
    ],
    "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 Jul 8, 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.