Active NPI
Peter Le, DMD
- Dentist
- Indio, CA
National Provider Identifier
1811475908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102933
- Practice address
- 81735 US Highway 111
Indio, CA 92201-0713 - Phone
- (760) 238-4533
- NPI assigned
- Aug 1, 2018
- Last updated
- Aug 1, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 102933 | CA | Primary |
Addresses
Primary practice location
81735 US Highway 111
Indio, CA 92201-0713
Mailing address
62 Victor Hugo Rd
Rancho Mirage, CA 92270-2717
Phone (619) 981-0215
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 |
|---|---|---|---|
| 102933 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1811475908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 VICTOR HUGO RD",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702717",
"telephone_number": "619-981-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81735 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922010713",
"telephone_number": "760-238-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.