Mai-Trinh Thi Le, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11581 Issued in MN

Practice address

4959 Excelsior Blvd
Suite 200
St Louis Park, MN 55416-3033

Phone

(952) 920-8774

Fax

(952) 920-8979

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Orthodontic Specialists PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Louis Park, MN
  • NPI 1104569839
  NPD (past)
• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • St Louis Park, MN
  • NPI 1801043096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679632533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 ROBINWOOD TER",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553054328",
            "telephone_number": "952-935-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 EXCELSIOR BLVD",
            "address_2": "SUITE 200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163033",
            "telephone_number": "952-920-8774",
            "fax_number": "952-920-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MAI-TRINH",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lawler
• Michael James Lawson, M.D.
• Taylor Rae Lawson, MSW, LICSW
• Kathryn Layon, MD
• Anthony Tri Le, D.O.
• Monica Le, PA-C
• Alison A Lea, R.D.
• Kim E Leach, C.R.N.A.
• Susan G Leach, PH.D.
• Anne Miller Leba, LPCC

• General Practice Dentistry in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.