Active NPI
Gregory Edward Le, DMD
- Dentist
- Fort Irwin, CA
National Provider Identifier
1689998437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58284
- Practice address
- 4TH & Interloop Road BLDG 171
US Army Dental Activity, Attn: Fran Gernert Credentials
Fort Irwin, CA 92310 - Phone
- (719) 526-5537
- Fax
- (719) 526-5551
- NPI assigned
- Mar 23, 2010
- 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 | 58284 | CA | Primary |
Addresses
Primary practice location
4TH & Interloop Road BLDG 171
US Army Dental Activity, Attn: Fran Gernert Credentials
Fort Irwin, CA 92310
Mailing address
1631 Wetzel Avenue, BLDG 815
US Army Dental Activity, Attn: Fran Gernert Credentials
Fort Carson, CO 80913
Phone (719) 526-5537
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 |
|---|---|---|---|
| 58284 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1689998437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 WETZEL AVENUE, BLDG 815",
"address_2": "US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT CREDENTIALS",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5537",
"fax_number": "719-526-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4TH & INTERLOOP ROAD BLDG 171",
"address_2": "US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT CREDENTIALS",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "719-526-5537",
"fax_number": "719-526-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "GREGORY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-23",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.