Individual provider Active NPI

Emmy Le Nur, D.D.S.

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1518113158
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57491 Issued in CA
Practice address
14364 Brookhurst St
Garden Grove, CA 92843-4608
Phone
(714) 531-1088
NPI assigned
Aug 14, 2008
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57491 CA Primary

Addresses

Primary practice location

14364 Brookhurst St
Garden Grove, CA 92843-4608

Mailing address

14364 Brookhurst St
Garden Grove, CA 92843-4608
Phone (714) 531-1088

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000714 CA Practitioner - DentistPractitioner - Oral Surgery 8628388063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57491CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emmy Le Nur, D. D. S., Inc. Dentist CurrentSince Oct 15, 2019 Accepting new patients
Le, Bich Ngoc, DDS Inc Dentist PastSince Feb 16, 2020 Accepting new patients
Franklin Nguyen DMD, PC PastSince Apr 25, 2021 Accepting new patients
Le Bich Ngoc DDS Inc Dentist Past Accepting new patients

Locations

14364 Brookhurst St
Garden Grove, CA 92843
Phone (714) 531-1088

Organizations & group practices 4

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1518113158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14364 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-531-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14364 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-531-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUR",
        "first_name": "EMMY",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.