Individual provider Active NPI

Austin Le, DMD

  • Dentist
  • West Covina, CA
National Provider Identifier
1669044244
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106205 Issued in CA
Practice address
3060 E Hillside Dr
West Covina, CA 91791-3476
Phone
(626) 383-4370
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106205 CA Primary

Addresses

Primary practice location

3060 E Hillside Dr
West Covina, CA 91791-3476

Mailing address

3060 E Hillside Dr
West Covina, CA 91791-3476
Phone (626) 383-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240131004392 CA Order and Referring Only - DentistPractitioner - Dentist 0244683738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106205CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Consumerhealth, Inc. PastSince Nov 1, 2022 Accepting new patients
Sahawneh Dental Corporation Dentist PastSince Nov 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1669044244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 E HILLSIDE DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913476",
            "telephone_number": "626-383-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 E HILLSIDE DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913476",
            "telephone_number": "626-383-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "AUSTIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.