Individual provider Active NPI

Anthony Nguyen Le, D.M.D

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1366875221
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 20335 Issued in FL
Practice address
2850 Monroe St
Suite 1
Pensacola, FL 32514-7656
Phone
(850) 484-4844
NPI assigned
Aug 14, 2013
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20335 FL
General Practice Dentistry 1223G0001X DN 20335 FL Primary

Addresses

Primary practice location

2850 Monroe St
Suite 1
Pensacola, FL 32514-7656

Mailing address

2850 Monroe St
Suite 1
Pensacola, FL 32514-7656
Phone (850) 484-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 26, 2016 through Apr 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN20335FLMDDentist
DN 20335FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Victus Dental II PA CurrentSince Aug 11, 2019 Accepting new patients
Victus Dental III PA General Practice Current Accepting new patients
Victus Dental General Practice Current Accepting new patients
Seacrest Dental II LLC General Practice Past Accepting new patients

Locations

1308 W Nine Mile Rd
Ste 9
Pensacola, FL 32534
Phone (850) 484-4844

2850 Monroe St
Pensacola, FL 32514
Phone (850) 484-4844

2850 Monroe St
Ste 1
Pensacola, FL 32514
Phone (850) 484-4844

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1366875221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MONROE ST",
            "address_2": "SUITE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147656",
            "telephone_number": "850-484-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MONROE ST",
            "address_2": "SUITE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147656",
            "telephone_number": "850-484-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ANTHONY",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20335",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.