NPIMap

Organization Active NPI

Anh Q. T. Le Professional Dental Corp.

  • Dentist
  • San Jose, CA
National Provider Identifier
1487870515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42562 Issued in CA
Legal business name
ANH Q. T. LE PROFESSIONAL DENTAL CORP.
Practice address
2811 Story Rd.
Suite 50
San Jose, CA 95127
Phone
(408) 929-9797
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anh TQ Le, DDS
Title
Dentist
Phone
(408) 929-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42562 CA Primary

Addresses

Primary practice location

2811 Story Rd.
Suite 50
San Jose, CA 95127

Mailing address

2811 Story Rd.
Suite 50
San Jose, CA 95127
Phone (408) 929-9797

National Provider Directory

National Provider Directory
Tax ID family
Anh Q T Le Professional Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487870515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 STORY RD.",
            "address_2": "SUITE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95127",
            "telephone_number": "408-929-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 STORY RD.",
            "address_2": "SUITE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95127",
            "telephone_number": "408-929-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH Q. T. LE PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "TQ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-929-9797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.