Organization Active NPI

Thanh Minh Le DDS Inc

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1154832400
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52882 Issued in CA
Legal business name
THANH MINH LE DDS INC
Practice address
12872 Harbor Blvd
Garden Grove, CA 92840
Phone
(714) 638-8273
Fax
(714) 699-2586
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Thanh Minh Le, DDS
Title
Dentist
Phone
(408) 506-1590

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52882 CA Primary
Dental Clinic/Center 261QD0000X 52882 CA

Addresses

Primary practice location

12872 Harbor Blvd
Garden Grove, CA 92840

Mailing address

12872 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 638-8273

National Provider Directory

National Provider Directory

Locations

12872 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 638-8273

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1154832400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12872 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92840",
            "telephone_number": "714-638-8273",
            "fax_number": "714-699-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92840",
            "telephone_number": "714-638-8273",
            "fax_number": "714-699-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANH MINH LE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-506-1590",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52882",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.