Hoanh Ba Le, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6522 Issued in KS

Practice address

430 N Woodlawn St
Wichita, KS 67208-4300

Phone

(316) 684-2100

Fax

(316) 684-2101

NPI assigned

Apr 20, 2006

Last updated

Apr 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kidspace Pediatric Dentistry Partnership

  • Pediatric Dentistry
  • Wichita, KS
  • NPI 1407561590
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1205891355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084300",
            "telephone_number": "316-684-2100",
            "fax_number": "316-684-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084300",
            "telephone_number": "316-684-2100",
            "fax_number": "316-684-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HOANH",
        "middle_name": "BA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "6522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "116771",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anh T Le, PHARMD
• Cynthia Le
• Diana Le
• Duc Anh Le
• Hannah T Le
• Huong V Le
• Jennie P Le, APRN
• Kloey Rayann Le, LSCSW
• Linda Le, CRNA
• Linh Le, PHARMD

• Pediatric Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.