Organization Active NPI

Khoa Dai Le DDS Inc

  • Dentist
  • Midway City, CA
National Provider Identifier
1770766545
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31942 Issued in CA
Legal business name
KHOA DAI LE DDS INC
Practice address
8181 Bolsa Ave
Midway City, CA 92655
Phone
(714) 698-8181
Fax
(714) 698-1609
NPI assigned
Dec 14, 2007
Organization subpart
Yes
Parent organization
KHOA DAI LE DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Khoa Dai Le, DDSNPI 1598891988
Title
Dentist Owner
Phone
(714) 698-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31942 CA Primary

Addresses

Primary practice location

8181 Bolsa Ave
Midway City, CA 92655

Mailing address

8181 Bolsa Ave
Midway City, CA 92655-1223
Phone (714) 698-8181

National Provider Directory

National Provider Directory
Part of
Khoa Dai Le DDS Inc

Locations

8181 Bolsa Ave
Midway City, CA 92655
Phone (714) 698-8181

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1770766545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 BOLSA AVE",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551223",
            "telephone_number": "714-698-8181",
            "fax_number": "714-698-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 BOLSA AVE",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "92655",
            "telephone_number": "714-698-8181",
            "fax_number": "714-698-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOA DAI LE DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KHOA DAI LE DDS INC",
        "enumeration_date": "2007-12-14",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHOA",
        "authorized_official_middle_name": "DAI",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "714-698-8181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.