Individual provider Active NPI

Gabrielle Le

  • Pediatric Dentistry
  • Silver Spring, MD
National Provider Identifier
1225693633
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
16832 Issued in MD
Practice address
12520 Prosperity Dr Ste 300
Silver Spring, MD 20904-1664
Phone
(301) 989-8994
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 16832 MD Primary
General Practice Dentistry 1223G0001X 16832 MD
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12520 Prosperity Dr Ste 300
Silver Spring, MD 20904-1664

Mailing address

6336 Red Haven Rd
Columbia, MD 21045-4473
Phone (443) 938-7062

Other practice location 1

205 Washington Rd
Westminster, MD 21157
Phone (443) 487-9435

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16832MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Camps Pediatric Dental Center Pediatric Dentistry PastSince Dec 10, 2023 Accepting new patients
Walter S. Hong, D.D.S., P.a. PastSince Jun 1, 2020 Accepting new patients
Lifetime Dental Care of Maryland, Badger, P.C. PastSince Nov 22, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1225693633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 RED HAVEN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454473",
            "telephone_number": "443-938-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041664",
            "telephone_number": "301-989-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "21157",
            "country_code": "US",
            "telephone_number": "443-487-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16832",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16832",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.