Active NPI
Thanh M Le, DDS
- Dentist
- Garden Grove, CA
National Provider Identifier
1881780096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52882
- Practice address
- 12872 Harbor Blvd
Garden Grove, CA 92840-5807 - Phone
- (714) 638-8273
- Fax
- (714) 699-2586
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 52882 | CA | Primary |
Addresses
Primary practice location
12872 Harbor Blvd
Garden Grove, CA 92840-5807
Mailing address
2850 N Kingsgate Dr
Orange, CA 92867-2139
Phone (408) 506-1590
Other practice location 1
3500 S Bristol St
Suite 100
Santa Ana, CA 92704-7319
Phone (714) 957-6030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20171221001445 | CA | Practitioner - Oral Surgery | 2062705759 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thanh Minh Le DDS Inc | Current | Accepting new patients |
Locations
12872 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 638-8273
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": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881780096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 N KINGSGATE DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928672139",
"telephone_number": "408-506-1590",
"fax_number": "714-699-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12872 HARBOR BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405807",
"telephone_number": "714-638-8273",
"fax_number": "714-699-2586"
}
],
"practiceLocations": [
{
"address_1": "3500 S Bristol St",
"address_2": "SUITE 100",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927047319",
"country_code": "US",
"telephone_number": "714-957-6030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "THANH",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.