Individual provider Active NPI

John Dinh Le, DDS

  • Dentist
  • Austin, TX
National Provider Identifier
1861044265
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35171 Issued in TX
Practice address
801 E William Cannon Dr Ste 201
Austin, TX 78745-6671
Phone
(512) 717-5353
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35171 TX Primary

Addresses

Primary practice location

801 E William Cannon Dr Ste 201
Austin, TX 78745-6671

Mailing address

14103 Kimberley LN
Houston, TX 77079-3240
Phone (714) 468-8494

Other practice location 1

14103 Kimberley Ln
Houston, TX 77079-3240
Phone (714) 468-8494

Other practice location 2

8035 Memorial Blvd
Port Arthur, TX 77640-7021
Phone (409) 356-9011

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

LicenseStateTypeSpecialty
35171TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Dental of William Cannon PA Dentist CurrentSince Nov 9, 2021 Accepting new patients

Locations

801 E William Cannon Dr
Ste 201
Austin, TX 78745
Phone (512) 717-5353

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1861044265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 KIMBERLEY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793240",
            "telephone_number": "714-468-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAM CANNON DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456671",
            "telephone_number": "512-717-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14103 Kimberley Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770793240",
            "country_code": "US",
            "telephone_number": "714-468-8494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8035 Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776407021",
            "country_code": "US",
            "telephone_number": "409-356-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JOHN",
        "middle_name": "DINH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.