Individual provider Active NPI

Jenny Le

  • Prosthodontics
  • Westminster, CA
National Provider Identifier
1437690385
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
64128 Issued in CA
Practice address
9900 McFadden Ave Ste 204
Westminster, CA 92683-6978
Phone
(714) 852-3357
NPI assigned
Mar 12, 2017
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 64128 CA Primary

Addresses

Primary practice location

9900 McFadden Ave Ste 204
Westminster, CA 92683-6978

Mailing address

9900 McFadden Ave Ste 204
Westminster, CA 92683-6978
Phone (714) 852-3357

Other practice location 1

10833 Le Conte Ave # A0111Chs
Los Angeles, CA 90095-3075
Phone (800) 367-5690

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
I20190712000274 CA Practitioner - DentistPractitioner - Oral Surgery 9436484474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Le DDS Inc Prosthodontics CurrentSince Jul 9, 2018 Accepting new patients

Locations

9900 McFadden Ave
Ste 204
Westminster, CA 92683
Phone (714) 418-2189

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, 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": "1489276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1437690385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE STE 204",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-852-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE STE 204",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-852-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave # A0111Chs",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "800-367-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-12",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "64128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.