NPIMap

Organization Active NPI

Jennifer Q Le DMD PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1619145968
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7375 Issued in NC
Legal business name
JENNIFER Q LE DMD PA
Practice address
2810 Wakefield Pines Dr Ste 115
Raleigh, NC 27614-7078
Phone
(919) 488-0111
Fax
(919) 488-0104
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Jennifer Q Le, DMD PANPI 1285641662
Title
Dentist
Phone
(919) 488-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7375 NC Primary

Addresses

Primary practice location

2810 Wakefield Pines Dr Ste 115
Raleigh, NC 27614-7078

Mailing address

2810 Wakefield Pines Dr Ste 115
Raleigh, NC 27614-7078
Phone (919) 488-0111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1619145968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 WAKEFIELD PINES DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147078",
            "telephone_number": "919-488-0111",
            "fax_number": "919-488-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WAKEFIELD PINES DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147078",
            "telephone_number": "919-488-0111",
            "fax_number": "919-488-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER Q LE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-488-0111",
        "authorized_official_credential": "DMD PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.