Individual provider Active NPI

Natalie Le, DDS

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1801144647
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62668 Issued in CA
Practice address
72333 Highway 111
Suite B
Palm Desert, CA 92260-2790
Phone
(760) 674-9666
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62668 CA Primary

Addresses

Primary practice location

72333 Highway 111
Suite B
Palm Desert, CA 92260-2790

Mailing address

72333 Highway 111
Suite B
Palm Desert, CA 92260-2790
Phone (760) 674-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150814014763 CA Order and Referring Only - DentistPractitioner - Dentist 5294040580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62668CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn G. Ghazal Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1801144647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72333 HIGHWAY 111",
            "address_2": "SUITE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602790",
            "telephone_number": "760-674-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72333 HIGHWAY 111",
            "address_2": "SUITE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602790",
            "telephone_number": "760-674-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "NATALIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.