Active NPI
An Quoc Le, D.D.S.
- Dentist
- Plano, TX
National Provider Identifier
1447379128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22204
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195026301 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201105000400 | TX | Practitioner - Oral Surgery | 9133539075 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22204 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuteeth Dental Centers PLLC | Dentist | Current | 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.
-
- Dentist
- Richardson, TX
- NPI 1821855123
-
- Dental Clinic/Center
- Garland, TX
- NPI 1184102741
-
dba Prime Dental Grand Prairie
- Dental Clinic/Center
- Grand Prairie, TX
- NPI 1336628890
-
- General Practice Dentistry
- Allen, TX
- NPI 1568870731
-
- General Practice Dentistry
- Plano, TX
- NPI 1407479389
-
- General Practice Dentistry
- Carrollton, TX
- NPI 1013147271
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.