Active NPI
Tim Le DDS & Christopher Tong DDS
- Point of Service
- San Diego, CA
National Provider Identifier
1821290511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 42841
- Legal business name
- TIM LE DDS & CHRISTOPHER TONG DDS
- Practice address
- 9330 Mira Mesa Blvd Ste B
San Diego, CA 92126-4822 - Phone
- (858) 693-9070
- Fax
- (858) 693-1521
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Le, DDS
- Title
- Doctor
- Phone
- (858) 693-9070
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 42841 | CA | Primary |
Addresses
Primary practice location
9330 Mira Mesa Blvd Ste B
San Diego, CA 92126-4822
Mailing address
9330 Mira Mesa Blvd Ste B
San Diego, CA 92126-4822
Phone (858) 693-9070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G91967-01 | Other | CA | DENTICAL |
National Provider Directory
National Provider DirectoryLocations
9330 Mira Mesa Blvd
Ste B
San Diego, CA 92126
Phone (858) 693-9070
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Diego, CA
- NPI 1457707366
-
- Dentist
- San Diego, CA
- NPI 1104949692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1821290511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 MIRA MESA BLVD STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264822",
"telephone_number": "858-693-9070",
"fax_number": "858-693-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 MIRA MESA BLVD STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264822",
"telephone_number": "858-693-9070",
"fax_number": "858-693-1521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIM LE DDS & CHRISTOPHER TONG DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "858-693-9070",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "42841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G91967-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.