Individual provider Active NPI

Kieu T Le, DDS

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1346250933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3769339921 Issued in UT
Practice address
1819 W 3500 S
Ste 1a
West Valley City, UT 84119
Phone
(801) 887-7264
Fax
(801) 887-7717
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3769339921 UT Primary

Addresses

Primary practice location

1819 W 3500 S
Ste 1a
West Valley City, UT 84119

Mailing address

1819 W 3500 S
Ste 1a
West Valley City, UT 84119
Phone (801) 887-7264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20150813010994 UT Order and Referring Only - DentistPractitioner - Dentist 2365757747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3769339921UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Viet Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346250933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "STE 1A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-887-7264",
            "fax_number": "801-887-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "STE 1A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-887-7264",
            "fax_number": "801-887-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KIEU",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "3769339921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.