Organization Active NPI

Le Dental Group

  • Dentist
  • Menifee, CA
National Provider Identifier
1447802962
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LE DENTAL GROUP
Practice address
26045 Newport Rd Ste B
Menifee, CA 92584-7317
Phone
(858) 336-3860
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Tram K Le, DDS
Title
President
Phone
(858) 336-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

26045 Newport Rd Ste B
Menifee, CA 92584-7317

Mailing address

26045 Newport Rd Ste B
Menifee, CA 92584-7317
Phone (858) 336-3860

National Provider Directory

National Provider Directory

Locations

26045 Newport Rd
Ste B
Menifee, CA 92584
Phone (858) 336-3860

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1447802962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26045 NEWPORT RD STE B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847317",
            "telephone_number": "858-336-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26045 NEWPORT RD STE B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847317",
            "telephone_number": "858-336-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TRAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-336-3860",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.