Active NPI
Le Dental LLC
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1255773289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LE DENTAL LLC
- Practice address
- 4301 S Nellis Blvd
Las Vegas, NV 89121-3120 - Phone
- (702) 456-8118
- NPI assigned
- Jul 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tuan Le, DMD
- Title
- Dentist
- Phone
- (702) 456-8118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4301 S Nellis Blvd
Las Vegas, NV 89121-3120
Mailing address
4301 S Nellis Blvd
Las Vegas, NV 89121-3120
Phone (702) 456-8118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503629 | Medicaid | NV | |
| 1982788261 | Other | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Le Dental LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1801395397
Locations
4301 S Nellis Blvd
Las Vegas, NV 89121
Phone (702) 456-8118
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1801395397
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1114991817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374105600000",
"number": "1255773289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 S NELLIS BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213120",
"telephone_number": "702-456-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 S NELLIS BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213120",
"telephone_number": "702-456-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "TUAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "702-456-8118",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503629",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1982788261",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.