Individual provider Active NPI

Dai Thi Le, D.D.S.

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1689709453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47748 Issued in CA
Practice address
9340 W Stockton Blvd Ste 120
Elk Grove, CA 95758-8014
Phone
(916) 684-8373
Fax
(916) 684-8175
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 47748 CA Primary

Addresses

Primary practice location

9340 W Stockton Blvd Ste 120
Elk Grove, CA 95758-8014

Mailing address

9340 W Stockton Blvd Ste 120
Elk Grove, CA 95758-8014
Phone (916) 684-8373

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689709453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 W STOCKTON BLVD STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588014",
            "telephone_number": "916-684-8373",
            "fax_number": "916-684-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 W STOCKTON BLVD STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588014",
            "telephone_number": "916-684-8373",
            "fax_number": "916-684-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DAI",
        "middle_name": "THI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

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.