NPIMap

Organization Active NPI

Lluan T. Le, DDS, Inc

Doing business as Evergreen family Dentistry

  • Preferred Provider Organization
  • San Jose, CA
National Provider Identifier
1134520943
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
39029 Issued in CA
Legal business name
LLUAN T. LE, DDS, INC
Doing business as
Evergreen family Dentistry
Practice address
3151 S White Rd
Ste 204
San Jose, CA 95148-4045
Phone
(408) 270-1120
Fax
(408) 270-1026
NPI assigned
Sep 11, 2014
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Dr. Luan Tran Le, DDSNPI 1174542658
Title
Dentist/President
Phone
(408) 270-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 39029 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Evergreen family Dentistry Doing business as

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.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1134520943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD",
            "address_2": "STE 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": "STE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-270-1120",
            "fax_number": "408-270-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLUAN T. LE, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LUAN",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "408-270-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "39029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2014; 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.