Andy Minh Le, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6560 Issued in LA

Practice address

14243 Highway 90
Boutte, LA 70039-3517

Phone

(985) 758-5110

NPI assigned

May 20, 2015

Last updated

May 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1750760039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14243 HIGHWAY 90",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "700393517",
            "telephone_number": "985-758-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14243 HIGHWAY 90",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "700393517",
            "telephone_number": "985-758-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ANDY",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie R. Glaser, D.D.S.
• Peter L. Glaser, D.D.S.
• Larry Hasten, RPH
• Delbert Johnson
• Lake Wellness Center, LLC
• Lets Ride Transport LLC
• LMG LLC
• Louisiana Happy Health LLC
• Hailey Lauren McFadden
• Clarence Mitchell, R.PH.

• General Practice Dentistry in Boutte, LA
• Providers in Boutte, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.

Verify at the official NPI Registry.