Organization Active NPI

Matthew Le PLLC

Doing business as Flossophy Dental Studio

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1356049761
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MATTHEW LE PLLC
Doing business as
Flossophy Dental Studio
Practice address
9749 North Fwy Ste 111
Fort Worth, TX 76177-7171
Phone
(817) 720-0121
NPI assigned
Feb 16, 2023
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Dr. Matthew Le, DDSNPI 1093326704
Title
Owner Doctor
Phone
(469) 742-1691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary
Dental Clinic/Center 261QD0000X NU

Addresses

Primary practice location

9749 North Fwy Ste 111
Fort Worth, TX 76177-7171

Mailing address

4727 Lake Front Dr
Haltom City, TX 76137-2612
Phone (469) 742-1691

Other names 1

  • Flossophy Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

9749 North Fwy
Ste 111
Fort Worth, TX 76177
Phone (817) 720-0121

9759 North Fwy
Fort Worth, TX 76177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1356049761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 LAKE FRONT DR",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372612",
            "telephone_number": "469-742-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9749 NORTH FWY STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777171",
            "telephone_number": "817-720-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW LE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "469-742-1691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flossophy Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flossophy Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.