Active NPI
Rosa Kim Le, DDS
- Dentist
- Littleton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105045
- Practice address
- 8199 Southpark LN Ste 120
Littleton, CO 80120-5665 - Phone
- (303) 738-8826
- NPI assigned
- Feb 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 203510 | CO | |
| Dentist | 122300000X | 105045 | CA | Primary |
Addresses
Primary practice location
8199 Southpark LN Ste 120
Littleton, CO 80120-5665
Mailing address
1726 Champa St Apt 5E
Denver, CO 80202-2716
Phone (408) 646-5368
Other practice location 1
9250 E Hampden Ave # 100
Denver, CO 80231-5413
Phone (303) 980-8888
Other practice location 2
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105045 | CA | MD | Dentist |
| 203510 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1174549232
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1477092633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 CHAMPA ST APT 5E",
"city": "DENVER",
"state": "CO",
"postal_code": "802022716",
"telephone_number": "408-646-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8199 SOUTHPARK LN STE 120",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205665",
"telephone_number": "303-738-8826"
}
],
"practiceLocations": [
{
"address_1": "9250 E Hampden Ave # 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802315413",
"country_code": "US",
"telephone_number": "303-980-8888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1809 National Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921132113",
"country_code": "US",
"telephone_number": "619-515-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "ROSA",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "203510",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.