Active NPI
Abraham Si-Viet Le, D.D.S.
- Dentist
- Des Moines, WA
National Provider Identifier
1558778316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60485731
- Practice address
- 2781 S 242ND St
Des Moines, WA 98198-5166 - Phone
- (206) 957-9040
- Fax
- (206) 212-4525
- NPI assigned
- Jul 14, 2014
- Last updated
- Mar 30, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE60485731 | WA | Primary |
| General Practice Dentistry | 1223G0001X | DE60485731 | WA |
Addresses
Primary practice location
2781 S 242ND St
Des Moines, WA 98198-5166
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
8915 14th Ave S Fl 2
Seattle, WA 98108-4813
Phone (206) 762-3263
Other practice location 2
1418 164th St SW
Lynnwood, WA 98087-8500
Phone (425) 742-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047268 | Medicaid | WA |
Other names 1
- Dr. Abe Si-Viet Le
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60485731 | WA | MD | General Practice Dentistry |
Interoperability endpoints
- ale452765@direct.multicare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1558778316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 S 242ND ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981985166",
"telephone_number": "206-957-9040",
"fax_number": "206-212-4525"
}
],
"practiceLocations": [
{
"address_1": "8915 14th Ave S Fl 2",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981084813",
"country_code": "US",
"telephone_number": "206-762-3263",
"fax_number": "206-763-6574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1418 164th St SW",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980878500",
"country_code": "US",
"telephone_number": "425-742-8828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "ABRAHAM",
"middle_name": "SI-VIET",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60485731",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60485731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047268",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ABE",
"last_name": "LE",
"middle_name": "SI-VIET",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.