Active NPI
Dat Minh Le, DDS
- Dentist
- Zumbrota, MN
National Provider Identifier
1639915457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15141
- Practice address
- 350 22ND St
Zumbrota, MN 55992-5201 - Phone
- (507) 732-5346
- NPI assigned
- Jul 2, 2024
- Last updated
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15141 | MN | Primary |
Addresses
Primary practice location
350 22ND St
Zumbrota, MN 55992-5201
Mailing address
15519 Flight Way
Apple Valley, MN 55124-6025
Phone (763) 406-2597
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15141 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1639915457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15519 FLIGHT WAY",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246025",
"telephone_number": "763-406-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 22ND ST",
"city": "ZUMBROTA",
"state": "MN",
"postal_code": "559925201",
"telephone_number": "507-732-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "DAT",
"middle_name": "MINH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zumbrota, MN
- Rupam Kademani, DMD
- Katie Gail Kennedy, L.I.C.S.W, M.S.W.
- Kevin Langeson Kish, OD
- Eugene Michael Kliber, PA-C
- James Allen Kurth, RPH
- Loled Acoustic Tours, Inc. (Zumbrota Main Street Pharmacy)
- Loled Acoustic Tours, Inc. (Zumbrota Main Street Pharmacy)
- Lotus Mental Health and Recovery, LLC
- McBe Company (Weber & Judd Zumbrota)
- Modern Dental Professionals, MN PC (Midwest Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.