Individual provider Active NPI

Dustin Le

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1396129342
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64602 Issued in CA
Practice address
3739 S Plaza Dr
Santa Ana, CA 92704-7463
Phone
(714) 623-7249
NPI assigned
Jul 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 64602 CA Primary

Addresses

Primary practice location

3739 S Plaza Dr
Santa Ana, CA 92704-7463

Mailing address

6451 Setting Sun Dr
Huntington Beach, CA 92648-6715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620002018 CA Order and Referring Only - DentistPractitioner - Dentist 8224329370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64602CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Office of Le Nguyen Kim Inc Current Accepting new patients
Dustin Q. Le DDS, Inc. General Practice CurrentSince May 17, 2020 Accepting new patients
Kim Le Nguyen DDS, Inc Current Accepting new patients
Jason Nguyen'S Dental Corporation General Practice Past Accepting new patients

Locations

3739 S Plaza Dr
Santa Ana, CA 92704
Phone (714) 549-0909

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1396129342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 SETTING SUN DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 S PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047463",
            "telephone_number": "714-623-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.