Individual provider Active NPI

An Quoc Le, D.D.S.

  • Dentist
  • Plano, TX
National Provider Identifier
1447379128
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22204 Issued in TX
Practice address
4637 Hedgcoxe Rd
Suite 112
Plano, TX 75024-3962
Phone
(832) 244-6157
Fax
(972) 377-8870
NPI assigned
Mar 27, 2007
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22204 TX Primary

Addresses

Primary practice location

4637 Hedgcoxe Rd
Suite 112
Plano, TX 75024-3962

Mailing address

4637 Hedgcoxe Rd
Suite 112
Plano, TX 75024-3962
Phone (832) 244-6157

Other identifiers 1

IdentifierTypeStateIssuer
195026301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201105000400 TX Practitioner - Oral Surgery 9133539075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22204TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuteeth Dental Centers PLLC Dentist CurrentSince Mar 12, 2024 Accepting new patients

Locations

100 N Central Expy
Ste 130
Richardson, TX 75080
Phone (972) 608-8008

Organizations & group practices 6

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1447379128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 HEDGCOXE RD",
            "address_2": "SUITE 112",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243962",
            "telephone_number": "832-244-6157",
            "fax_number": "972-377-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 HEDGCOXE RD",
            "address_2": "SUITE 112",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243962",
            "telephone_number": "832-244-6157",
            "fax_number": "972-377-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "AN",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195026301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.