Active NPI
Christie Le
- Dentist
- Honolulu, HI
National Provider Identifier
1649925363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- CSDT-113
- Practice address
- 2239 N School St
Honolulu, HI 96819-2539 - Phone
- (808) 791-9428
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11869 | OR | |
| Dentist | 122300000X | CSDT-113 | HI | Primary |
Addresses
Primary practice location
2239 N School St
Honolulu, HI 96819-2539
Mailing address
2239 N School St
Honolulu, HI 96819-2539
Phone (808) 791-9428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913003144 | OR | Order and Referring Only - Dentist | 8325402092 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSDT-113 | HI | MD | Dentist |
| D11869 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713571200000",
"number": "1649925363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 N SCHOOL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968192539",
"telephone_number": "808-791-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 N SCHOOL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968192539",
"telephone_number": "808-791-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CHRISTIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2024-04-20",
"certification_date": "2024-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11869",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "CSDT-113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.