Active NPI
Catherine Minh Le, D.D.S.
- Pediatric Dentistry
- San Jose, CA
National Provider Identifier
1306135538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 100479
- Practice address
- 189 N Bascom Ave
Suite 200
San Jose, CA 95128-1869 - Phone
- (408) 286-6315
- NPI assigned
- Mar 28, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019028998 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | D009173 | AZ | |
| Pediatric Dentistry | 1223P0221X | 100479 | CA | Primary |
Addresses
Primary practice location
189 N Bascom Ave
Suite 200
San Jose, CA 95128-1869
Mailing address
189 N Bascom Ave
Suite 200
San Jose, CA 95128-1869
Phone (408) 286-6315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019028998 | IL | MD | Dentist |
| D009173 | AZ | MD | Pediatric Dentist |
| 100479 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1306135538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 N BASCOM AVE",
"address_2": "SUITE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281869",
"telephone_number": "408-286-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 N BASCOM AVE",
"address_2": "SUITE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281869",
"telephone_number": "408-286-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CATHERINE",
"middle_name": "MINH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028998",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D009173",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "100479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.