Active NPI
Ivane Le-Nguyen, D.M.D
- Dentist
- Midway City, CA
National Provider Identifier
1821455668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65297
- Practice address
- 8181 Bolsa Ave
Midway City, CA 92655-1223 - Phone
- (714) 698-8181
- NPI assigned
- Jan 25, 2016
- Last updated
- Jan 25, 2016
- Sex
- Female
- 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 | 65297 | CA | Primary |
Addresses
Primary practice location
8181 Bolsa Ave
Midway City, CA 92655-1223
Mailing address
8181 Bolsa Ave
Midway City, CA 92655-1223
Phone (714) 698-8181
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 |
|---|---|---|---|
| 65297 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khoa Dai Le DDS Inc | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Midway City, CA
- NPI 1770766545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1821455668",
"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"
},
{
"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": "926551223",
"telephone_number": "714-698-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE-NGUYEN",
"first_name": "IVANE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65297",
"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 Jan 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.