Individual provider Active NPI

Daniel Loc Le, DDS, MS, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cypress, TX
National Provider Identifier
1629136957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19855 Issued in TX
Practice address
14315 Cypress Rosehill Rd.
Suite 100
Cypress, TX 77429
Phone
(713) 772-3499
Fax
(717) 772-3959
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19855 TX Primary

Addresses

Primary practice location

14315 Cypress Rosehill Rd.
Suite 100
Cypress, TX 77429

Mailing address

15914 Flowercroft CT
Cypress, TX 77429-4960
Phone (832) 858-4615

Other identifiers 2

IdentifierTypeStateIssuer
202398563OtherTXTAX IDENTIFICATION NUMBER
1718215-01MedicaidTX

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
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
19855TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle I-Hsuan Lin, PA 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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629136957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15914 FLOWERCROFT CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294960",
            "telephone_number": "832-858-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 CYPRESS ROSEHILL RD.",
            "address_2": "SUITE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "713-772-3499",
            "fax_number": "717-772-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DANIEL",
        "middle_name": "LOC",
        "credential": "DDS, MS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "202398563",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718215-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.