Individual provider Active NPI

Anthony Anh Le, DDS

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1386297976
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104076 Issued in CA
Practice address
885 Canarios CT Ste 204
Chula Vista, CA 91910-7877
Phone
(619) 216-9900
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 104076 CA Primary

Addresses

Primary practice location

885 Canarios CT Ste 204
Chula Vista, CA 91910-7877

Mailing address

17217 Ralphs Ranch Rd
San Diego, CA 92127-7864

Other practice location 1

412 8th St Ste C
Oakland, CA 94607-3984
Phone (510) 763-6811

Other practice location 2

14463 Penasquitos Dr
San Diego, CA 92129
Phone (858) 905-5898

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

LicenseStateTypeSpecialty
104076CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony a Le DDS Prof Corp CurrentSince Oct 20, 2024 Accepting new patients
Glenn E. Gibson, DDS General Practice PastSince Oct 20, 2024 Accepting new patients

Locations

14463 Penasquitos Dr
San Diego, CA 92129
Phone (858) 905-5898

Organizations & group practices 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1386297976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17217 RALPHS RANCH RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921277864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT STE 204",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-216-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 8th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946073984",
            "country_code": "US",
            "telephone_number": "510-763-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14463 Penasquitos Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92129",
            "country_code": "US",
            "telephone_number": "858-905-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ANTHONY",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.