Michael M. Le, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50075 Issued in CA

Legal business name

MICHAEL M. LE, D.D.S., INC.

Practice address

665 N Tustin St
Suite W
Orange, CA 92867-7146

Phone

(714) 289-8100

Fax

(714) 289-8189

NPI assigned

May 19, 2007

Organization subpart

No

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

Authorized official

Name

Michael M. Le, D.D.S.

Title

Ceo

Phone

(310) 749-6446

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189814400000",
    "number": "1427266642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WATERMAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021654",
            "telephone_number": "310-749-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N TUSTIN ST",
            "address_2": "SUITE W",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677146",
            "telephone_number": "714-289-8100",
            "fax_number": "714-289-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. LE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-09-15",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-749-6446",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D50075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; 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.