Jade Le, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3736 Issued in ME

Practice address

28321 S. Tamiami Trail
Suite A1-2
Bonita Springs, FL 34134

Phone

(239) 344-2322

Fax

(239) 390-0523

NPI assigned

Apr 26, 2007

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1053526962
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1073707741
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1083421556
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1134331416
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1134334048
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1194919993
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1235946716
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1376738690
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1417774332
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1477229755
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1508079245
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1538976006
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1154541845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 TAHITI RD",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "34145",
            "telephone_number": "239-344-2322",
            "fax_number": "239-390-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28321 S. TAMIAMI TRAIL",
            "address_2": "SUITE A1-2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-344-2322",
            "fax_number": "239-390-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JADE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18068",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418040000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Joel Landy, PHD
• Jennifer Franel Lane, DVM
• Robert Steven Lanza, LMT,NCBTMB
• Stephan Larocque
• Richard Layden Jr., D.C.
• Lee Health System Inc (Lee Health Specialty Pharmacy)
• Lee Raymond Light MD PA
• Brian D Lee
• Suzy Lee, M.D.
• Dalymar Legrand Torres

• General Practice Dentistry in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.