Organization Active NPI

Linda Tu Le DDS Inc

  • General Practice Dentistry
  • Tracy, CA
National Provider Identifier
1700919370
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45725 Issued in CA
Legal business name
LINDA TU LE DDS INC
Doing business as
West Valley Dental
Practice address
2160 W Grant Line Rd Ste 245
Tracy, CA 95377-7335
Phone
(209) 834-0572
Fax
(209) 834-0582
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Mr. Phach N Nguyen
Title
Office Manager
Phone
(209) 574-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45725 CA Primary

Addresses

Primary practice location

2160 W Grant Line Rd Ste 245
Tracy, CA 95377-7335

Mailing address

2160 W Grant Line Rd Ste 245
Tracy, CA 95377-7335
Phone (209) 834-0572

Other names 1

  • West Valley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2160 W Grant Line Rd
Ste 245
Tracy, CA 95377
Phone (209) 834-0572

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1700919370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 245",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777335",
            "telephone_number": "209-834-0572",
            "fax_number": "209-834-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 245",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777335",
            "telephone_number": "209-834-0572",
            "fax_number": "209-834-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA TU LE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHACH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-574-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.