Active NPI
Melinda Xuan Le, DMD
- Dentist
- Waltham, MA
National Provider Identifier
1598550097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10000749
- Practice address
- 200 5TH Ave FL 3
Waltham, MA 02451-8759 - Phone
- (617) 480-6355
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10000749 | MA | Primary |
Addresses
Primary practice location
200 5TH Ave FL 3
Waltham, MA 02451-8759
Mailing address
4230 Sugar Mill Dr
Duluth, GA 30096-6859
Phone (678) 770-9872
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 |
|---|---|---|---|
| DN10000749 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1598550097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 SUGAR MILL DR",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966859",
"telephone_number": "678-770-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 5TH AVE FL 3",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024518759",
"telephone_number": "617-480-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MELINDA",
"middle_name": "XUAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10000749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.