Lluan T. Le, DDS, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

39029 Issued in CA

Legal business name

LLUAN T. LE, DDS, INC

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

Organization subpart

No

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

Authorized official

Name

Dr. Luan Tran Le, DDS

Title

Dentist/President

Phone

(408) 270-1120

Specialties & licenses 1

Addresses

Other names 1

• Evergreen family Dentistry Doing business as

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.

• Luan T. Le, D.D.S. , Inc.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1124201181
  NPD tax ID

Locations

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"
        }
    ]
}

• Ashley Anne Mique Llantada
• Lina Llanto
• Julius Llavore, LVN
• Dan Lee Lloyd, MFT
• Kristin Lloyd, BA
• Lly Healing Center
• Ann Lo, MFT
• Chui-Yee Lo
• Constance Wenjui Lo, MD
• Han P Lo, M.D.

• Preferred Provider Organization in San Jose, CA
• Providers in San Jose, CA by specialty
• Preferred Provider Organization in California

• 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.