Individual provider Active NPI

Christine N Le, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1265748446
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59534 Issued in CA
Practice address
266 N Jackson Ave
Suite 1
San Jose, CA 95116-1606
Phone
(408) 272-1999
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59534 CA Primary

Addresses

Primary practice location

266 N Jackson Ave
Suite 1
San Jose, CA 95116-1606

Mailing address

8344 Saturn Park Dr
San Ramon, CA 94582-5148
Phone (626) 757-2406

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216002498 CA Order and Referring Only - DentistPractitioner - Dentist 6800197815

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1265748446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 SATURN PARK DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825148",
            "telephone_number": "626-757-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 N JACKSON AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161606",
            "telephone_number": "408-272-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CHRISTINE",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.