Active NPI
Brian T Le, D.D.S.
- General Practice Dentistry
- Euless, TX
National Provider Identifier
1730177619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21298
- Practice address
- 305 W Euless Blvd Ste 100
Euless, TX 76040-3842 - Phone
- (817) 921-0883
- Fax
- (888) 600-6547
- NPI assigned
- Oct 13, 2005
- Last updated
- Aug 24, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21298 | TX | Primary |
Addresses
Primary practice location
305 W Euless Blvd Ste 100
Euless, TX 76040-3842
Mailing address
1114 E Seminary Dr
Fort Worth, TX 76115-2830
Phone (817) 921-0883
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158687712 | Medicaid | TX | |
| 158687716 | Medicaid | TX | |
| 158687715 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217001121 | TX | Order and Referring Only - General Practice | 2365747045 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21298 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Smile Dental, PLLC | General Practice | Past | Accepting new patients |
| Crystal Dental of Fort Worth, P.C. | Past | Accepting new patients | |
| Crystal Dental of Burleson | General Practice | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Euless, TX
- NPI 1285159137
-
- Preferred Provider Organization
- Burleson, TX
- NPI 1508037128
General Practice
-
- Preferred Provider Organization
- Fort Worth, TX
- NPI 1376840306
-
- General Practice Dentistry
- Mansfield, TX
- NPI 1780693960
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1558808030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1730177619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 E SEMINARY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761152830",
"telephone_number": "817-921-0883",
"fax_number": "888-600-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W EULESS BLVD STE 100",
"city": "EULESS",
"state": "TX",
"postal_code": "760403842",
"telephone_number": "817-921-0883",
"fax_number": "888-600-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "BRIAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158687712",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158687716",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158687715",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Euless, TX
- Francine Lalande, LPC
- Michelle Lam, BCBA, LBA
- Susann Land, MD
- Olivia Marie Lapucha, DO
- Ashlyn Renee Latham, LPC
- Julie Trang Le, D.C
- Learning Links ABA
- Legend Healthcare Euless, LP (Legend Healthcare and Rehab - Euless)
- Legent Outpatient Surgery Euless, LLC (Legent Interventional Pain Center)
- Life Nurturing Health Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.