Organization Active NPI

Le-Nguyen, D.M.D., P.C.

  • General Practice Dentistry
  • Commerce, GA
National Provider Identifier
1881041853
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013713 Issued in GA
Legal business name
LE-NGUYEN, D.M.D., P.C.
Practice address
119 Pottery Factory Drive
Commerce, GA 30529
Phone
(706) 336-8318
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Ha Ngoc Le, D.M.D.
Title
President
Phone
(706) 336-8318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013713 GA Primary

Addresses

Primary practice location

119 Pottery Factory Drive
Commerce, GA 30529

Mailing address

119 Pottery Factory Drive
Commerce, GA 30529
Phone (706) 336-8318

Other identifiers 1

IdentifierTypeStateIssuer
820030239BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Ha Ngoc Le DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1881041853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 POTTERY FACTORY DRIVE",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "30529",
            "telephone_number": "706-336-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 POTTERY FACTORY DRIVE",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "30529",
            "telephone_number": "706-336-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE-NGUYEN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HA",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-336-8318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820030239B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.