Individual provider Active NPI

Nancy Huynh Le, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CA
National Provider Identifier
1164702502
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63343 Issued in CA
Practice address
1411 Oliver Rd Ste 330
Fairfield, CA 94534-3425
Phone
(707) 428-3200
Fax
(707) 428-6045
NPI assigned
Aug 17, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 988 FL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 63343 CA Primary

Addresses

Primary practice location

1411 Oliver Rd Ste 330
Fairfield, CA 94534-3425

Mailing address

63 Tampico CT
Bay Point, CA 94565-7660
Phone (415) 999-1081

Other practice location 1

2075 Forest Ave Ste 2
San Jose, CA 95128-4812
Phone (408) 298-3433

Other names 1

  • Dr. Nancy Huynh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
988FLMDDentist
63343CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Niousha Saghafi, DDS, MSD, Inc. Orthodontics and Dentofacial Orthopedics PastSince May 28, 2023 Accepting new patients
Nancy H. Le, DDS, Ms, Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Eric Phelps, DDS, Ms and Jason Cohen, DDS, N Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164702502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 TAMPICO CT",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945657660",
            "telephone_number": "415-999-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD STE 330",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343425",
            "telephone_number": "707-428-3200",
            "fax_number": "707-428-6045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 Forest Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284812",
            "country_code": "US",
            "telephone_number": "408-298-3433",
            "fax_number": "408-298-6304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "NANCY",
        "middle_name": "HUYNH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "988",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HUYNH",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.