Individual provider Active NPI

Quoc-Albert D Le, DDS

  • General Practice Dentistry
  • Tyler, TX
National Provider Identifier
1568607695
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24360 Issued in TX
Practice address
7916 S Broadway Ave Ste 150
Tyler, TX 75703-5287
Phone
(903) 581-2198
NPI assigned
Dec 3, 2008
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62525 CA
General Practice Dentistry 1223G0001X 24360 TX Primary

Addresses

Primary practice location

7916 S Broadway Ave Ste 150
Tyler, TX 75703-5287

Mailing address

316 Bridle Ridge CT
Tyler, TX 75703-1254

Other identifiers 2

IdentifierTypeStateIssuer
197116005MedicaidTX
197116006MedicaidTX

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
62525CAMDGeneral Practice Dentistry
24360TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Culberson R. Boren, D.D.S., P.a. PastSince Mar 30, 2025 Accepting new patients
Culberson R Boren DDS PA PastSince Mar 30, 2025 Accepting new patients
Ming Truong, DDS, Inc. General Practice Past Accepting new patients

Organizations & group practices 3

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1568607695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BRIDLE RIDGE CT",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 S BROADWAY AVE STE 150",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035287",
            "telephone_number": "903-581-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "QUOC-ALBERT",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62525",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197116005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197116006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.