Individual provider Active NPI

Han Mai Le, D.M.D.

  • General Practice Dentistry
  • North Quincy, MA
National Provider Identifier
1134448434
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18629 Issued in MA
Practice address
339 Hancock St
North Quincy, MA 02171-2438
Phone
(617) 328-4646
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 DN18629 MA Primary

Addresses

Primary practice location

339 Hancock St
North Quincy, MA 02171-2438

Mailing address

895 Western Ave
Lynn, MA 01905-2359
Phone (781) 598-0491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160628002333 MA Order and Referring Only - DentistPractitioner - Dentist 7810288412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18629MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Dube D.M.D 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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1134448434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 WESTERN AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052359",
            "telephone_number": "781-598-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HANCOCK ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712438",
            "telephone_number": "617-328-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HAN",
        "middle_name": "MAI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN18629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Quincy, MA

Sources for this page

Verify at the official NPI Registry.