Active NPI
Thanh Minh Le DDS Inc
- General Practice Dentistry
- Garden Grove, CA
National Provider Identifier
1154832400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52882
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| General Practice Dentistry | 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 DirectoryLocations
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.