Individual provider Active NPI

Diep H Le, DDS

  • Dentist
  • Hollister, CA
National Provider Identifier
1609895184
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43033 Issued in CA
Practice address
195 Meridian St Ste A5
Hollister, CA 95023-2221
Phone
(408) 298-4532
Fax
(831) 630-5721
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43033 CA Primary

Addresses

Primary practice location

195 Meridian St Ste A5
Hollister, CA 95023-2221

Mailing address

195 Meridian St Ste A5
Hollister, CA 95023-2221
Phone (408) 298-4532

Other identifiers 1

IdentifierTypeStateIssuer
43033OtherCACA LICENSE

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
I20160419000926 CA Order and Referring Only - DentistPractitioner - Dentist 0042518433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43033CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Diep H. Le, DDS. Dental Corp II Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1609895184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MERIDIAN ST STE A5",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232221",
            "telephone_number": "408-298-4532",
            "fax_number": "831-630-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MERIDIAN ST STE A5",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232221",
            "telephone_number": "408-298-4532",
            "fax_number": "831-630-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DIEP",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "43033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.