Organization Active NPI

Anthony a Le DDS Prof Corp

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1225859804
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANTHONY A LE DDS PROF CORP
Practice address
14463 Penasquitos Dr
San Diego, CA 92129
Phone
(858) 905-5898
Fax
(858) 905-5905
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Anthony Anh Le, DDSNPI 1386297976
Title
President
Phone
(858) 905-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14463 Penasquitos Dr
San Diego, CA 92129

Mailing address

17217 Ralphs Ranch Rd
San Diego, CA 92127-7864

National Provider Directory

National Provider Directory

Locations

14463 Penasquitos Dr
San Diego, CA 92129
Phone (858) 905-5898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1225859804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17217 RALPHS RANCH RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921277864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14463 PENASQUITOS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92129",
            "telephone_number": "858-905-5898",
            "fax_number": "858-905-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY A LE DDS PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-905-5898",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.