Individual provider Active NPI

Abraham Si-Viet Le, D.D.S.

  • Dentist
  • Des Moines, WA
National Provider Identifier
1558778316
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60485731 Issued in WA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2047268MedicaidWA

Other names 1

  • Dr. Abe Si-Viet Le Other name

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
DE60485731WAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.