Individual provider Active NPI

Ai Le, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1366744930
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26142 Issued in TX
Practice address
5858 S Gessner Rd Ste 104
Houston, TX 77036-2646
Phone
(713) 777-8743
Fax
(713) 588-8680
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X UTSA920-X TX
Dentist 122300000X 26142 TX Primary

Addresses

Primary practice location

5858 S Gessner Rd Ste 104
Houston, TX 77036-2646

Mailing address

5858 S Gessner Rd Ste 104
Houston, TX 77036-2646
Phone (713) 777-8743

Other practice location 1

8200 Wilcrest Dr
Suit #21
Houston, TX 77072-4315
Phone (281) 530-9339

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
26142TXMDDentist
UTSA920-XTXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Top Dental Care P.a. General Practice 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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1366744930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 S GESSNER RD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362646",
            "telephone_number": "713-777-8743",
            "fax_number": "713-588-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 S GESSNER RD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362646",
            "telephone_number": "713-777-8743",
            "fax_number": "713-588-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Wilcrest Dr",
            "address_2": "Suit #21",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770724315",
            "country_code": "US",
            "telephone_number": "281-530-9339",
            "fax_number": "281-530-9364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "AI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "UTSA920-X",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.