Thao Phuoc Le, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14132 Issued in MN

Practice address

6411 Richfield Pkwy
Richfield, MN 55423-6400

Phone

(612) 869-3440

NPI assigned

May 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Le'Centre Dentistry P.L.L.C.

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1427730811
  NPD Authorized official
• Richfield Dentistry PC

  • General Practice Dentistry
  • Richfield, MN
  • NPI 1003231713
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1619313343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 OAKLAWN AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354144",
            "telephone_number": "920-661-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 RICHFIELD PKWY",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554236400",
            "telephone_number": "612-869-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THAO",
        "middle_name": "PHUOC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashli Larson
• Benjamin David Larson, DDS
• Brent James Larson, DPM
• Julie Larson
• Ngoc-Thanh T Le, APRN, FNP-C
• Michael J Legris, M.D.
• Jacob Paul Lehrer, LMFT
• Paul Douglas Lehrer, LICSW, LMFT
• Jonathan Lewis, PHD
• Sylas Patrick Lies

• Dentist in Richfield, MN
• Providers in Richfield, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.