Active NPI
Tram Le, DDS
- General Practice Dentistry
- Plainview, NY
National Provider Identifier
1366895286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059546
- Practice address
- 1097 Old Country Rd Ste 209
Plainview, NY 11803-6505 - Phone
- (516) 931-2290
- NPI assigned
- Jul 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 059546 | NY | Primary |
Addresses
Primary practice location
1097 Old Country Rd Ste 209
Plainview, NY 11803-6505
Mailing address
5940 Myrtle Ave Apt 1
Ridgewood, NY 11385-5658
Phone (619) 471-4622
Other practice location 1
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272
Other practice location 2
145 Canal St Fl 2
New York, NY 10002-5033
Phone (917) 388-3678
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 |
|---|---|---|---|
| 059546 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowery Dental | 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.
-
- General Practice Dentistry
- New York, NY
- NPI 1245727064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1366895286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 MYRTLE AVE APT 1",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855658",
"telephone_number": "619-471-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1097 OLD COUNTRY RD STE 209",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118036505",
"telephone_number": "516-931-2290"
}
],
"practiceLocations": [
{
"address_1": "374 Stockholm St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "718-963-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Canal St Fl 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100025033",
"country_code": "US",
"telephone_number": "917-388-3678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "TRAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.