Individual provider Active NPI

Giang Hoang Le, D.D.S.

  • Pediatric Dentistry
  • Sam Houston, TX
National Provider Identifier
1508298225
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
34824 Issued in TX
Practice address
1811 Army Boule
US Army Dental Activity Ft. Sam Houston
Sam Houston, TX 78234-2686
Phone
(714) 642-2847
NPI assigned
Aug 5, 2013
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62592 CA
Pediatric Dentistry 1223P0221X 34824 TX Primary

Addresses

Primary practice location

1811 Army Boule
US Army Dental Activity Ft. Sam Houston
Sam Houston, TX 78234-2686

Mailing address

26381 Mirar Vista Dr
Mission Viejo, CA 92692-3940
Phone (714) 642-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34824TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Theradontics PLLC Dentist CurrentSince Sep 11, 2022 Accepting new patients

Locations

801 W Wells Branch Pkwy
Ste 130
Pflugerville, TX 78660
Phone (512) 887-7816

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1508298225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26381 MIRAR VISTA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923940",
            "telephone_number": "714-642-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 ARMY BOULE",
            "address_2": "US ARMY DENTAL ACTIVITY FT. SAM HOUSTON",
            "city": "SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "714-642-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "GIANG",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62592",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "34824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.