Active NPI
Nickie K Le, DDS
- Dentist
- Denver, CO
National Provider Identifier
1831248608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9300
- Practice address
- 4809 Argonne St
Suite 220
Denver, CO 80249 - Phone
- (303) 578-7655
- Fax
- (303) 388-0607
- NPI assigned
- Jan 9, 2007
- 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 | 9300 | CO | Primary |
Addresses
Primary practice location
4809 Argonne St
Suite 220
Denver, CO 80249
Mailing address
4809 Argonne St
Suite 220
Denver, CO 80249
Phone (303) 578-7655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212004114 | CO | Order and Referring Only - Dentist | 6800181140 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9300 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831248608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 ARGONNE ST",
"address_2": "SUITE 220",
"city": "DENVER",
"state": "CO",
"postal_code": "80249",
"telephone_number": "303-578-7655",
"fax_number": "303-388-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 ARGONNE ST",
"address_2": "SUITE 220",
"city": "DENVER",
"state": "CO",
"postal_code": "80249",
"telephone_number": "303-578-7655",
"fax_number": "303-388-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "NICKIE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.