Individual provider Active NPI

Mai Huynh Le, DMD

  • Dentist
  • Clearwater, FL
National Provider Identifier
1629117304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16365 Issued in FL
Practice address
2189 Cleveland St Suite 252
Clearwater, FL 33765-3213
Phone
(727) 461-9149
Fax
(727) 446-8382
NPI assigned
Feb 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN16365 FL Primary

Addresses

Primary practice location

2189 Cleveland St Suite 252
Clearwater, FL 33765-3213

Mailing address

2189 Cleveland St Suite 252
Clearwater, FL 33765-3213
Phone (727) 461-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 10, 2016 through Nov 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN16365FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
FL Dental Centers PLLC Dentist PastSince Sep 11, 2022 Accepting new patients
Florida Dental Centers Past Accepting new patients
Park Family & Cosmetic Dentistry 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629117304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND ST SUITE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653213",
            "telephone_number": "727-461-9149",
            "fax_number": "727-446-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND ST SUITE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653213",
            "telephone_number": "727-461-9149",
            "fax_number": "727-446-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH LE",
        "first_name": "MAI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.