Active NPI
Thanh-Ha Thi Le, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1245309145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49573
- Practice address
- 4725 Market St
San Diego, CA 92102-4715 - Phone
- (619) 515-2560
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49573 | CA | Primary |
Addresses
Primary practice location
4725 Market St
San Diego, CA 92102-4715
Mailing address
7974 Goleta Rd
San Diego, CA 92126-2617
Phone (858) 549-7668
Other practice location 1
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314000176 | CA | Order and Referring Only - Other (Physician) | 3779889068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245309145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 GOLETA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921262617",
"telephone_number": "858-549-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 MARKET ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024715",
"telephone_number": "619-515-2560"
}
],
"practiceLocations": [
{
"address_1": "1809 National Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921132113",
"country_code": "US",
"telephone_number": "619-515-2394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "THANH-HA",
"middle_name": "THI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49573",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.