Organization Active NPI

Kha Dang Le DMD Pofesional Corp

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1457542771
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41453 Issued in CA
Legal business name
KHA DANG LE DMD POFESIONAL CORP
Practice address
146 S. Main St.
Ste. M
Orange, CA 92868
Phone
(714) 938-0568
Fax
(714) 938-1430
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Kha Dang Le, DMD
Title
Ceo
Phone
(714) 938-0568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 41453 CA Primary

Addresses

Primary practice location

146 S. Main St.
Ste. M
Orange, CA 92868

Mailing address

146 S. Main St.
Ste. M
Orange, CA 92868
Phone (714) 938-0568

Other identifiers 1

IdentifierTypeStateIssuer
G92084-01OtherCADENTICAL

Other names 1

  • orange art of dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

146 S Main St
Ste M
Orange, CA 92868
Phone (714) 938-0568

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1457542771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S. MAIN ST.",
            "address_2": "STE. M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-938-0568",
            "fax_number": "714-938-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S. MAIN ST.",
            "address_2": "STE. M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-938-0568",
            "fax_number": "714-938-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHA DANG LE DMD POFESIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHA",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-938-0568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G92084-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orange art of dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.