Organization Active NPI

Tim Le DDS & Christopher Tong DDS

  • Point of Service
  • San Diego, CA
National Provider Identifier
1821290511
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
42841 Issued in CA
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

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Tim Le, DDSNPI 1457707366
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G91967-01OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.