Active NPI
Thu Le
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1720527393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34415
- Practice address
- 55 E Julian St
San Jose, CA 95112-4007 - Phone
- (408) 881-3539
- NPI assigned
- Feb 15, 2017
- Last updated
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34415 | TX | Primary |
Addresses
Primary practice location
55 E Julian St
San Jose, CA 95112-4007
Mailing address
259 N Capitol Ave Unit 142
San Jose, CA 95127-2389
Phone (408) 881-3539
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 |
|---|---|---|---|
| 34415 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1720527393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 N CAPITOL AVE UNIT 142",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951272389",
"telephone_number": "408-881-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E JULIAN ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124007",
"telephone_number": "408-881-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "THU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.