NPIMap

Organization Active NPI

Kha D Le Dental Corp.

Doing business as Coast Dental & Implant Center

  • Dental Clinic/Center
  • Corona del Mar, CA
National Provider Identifier
1447805890
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHA D LE DENTAL CORP.
Doing business as
Coast Dental & Implant Center
Practice address
2121 E Coast Hwy Ste 220
Corona del Mar, CA 92625-1934
Phone
(949) 644-1001
Fax
(949) 644-4445
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Kha D. Le, DMDNPI 1003847955
Title
Owner/Dentist
Phone
(949) 644-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2121 E Coast Hwy Ste 220
Corona del Mar, CA 92625-1934

Mailing address

2121 E Coast Hwy Ste 220
Corona del Mar, CA 92625-1934
Phone (949) 644-1001

Other names 1

  • Coast Dental & Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

2121 E Coast Hwy
Ste 220
Corona del Mar, CA 92625
Phone (949) 644-1001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1447805890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 220",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-644-1001",
            "fax_number": "949-644-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 220",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-644-1001",
            "fax_number": "949-644-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHA D LE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "949-644-1001",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Dental & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.