Organization Active NPI

Gregory E. Le, DMD, Inc.

  • Dentist
  • Fountain Valley, CA
National Provider Identifier
1902271802
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58284 Issued in CA
Legal business name
GREGORY E. LE, DMD, INC.
Practice address
11160 Warner Ave Ste 303
Fountain Valley, CA 92708
Phone
(714) 557-8492
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Gregory Le, DMD
Title
President/Owner
Phone
(714) 495-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 58284 CA Primary

Addresses

Primary practice location

11160 Warner Ave Ste 303
Fountain Valley, CA 92708

Mailing address

11160 Warner Ave Ste 303
Fountain Valley, CA 92708-4055
Phone (714) 557-8492

Other practice location 1

3320 N Los Coyotes Diagonal Ste 250
Long Beach, CA 90808-3939
Phone (562) 496-3230

Other names 1

  • Medical Center Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3320 N Los Coyotes Diagonal
Ste 250
Long Beach, CA 90808
Phone (562) 496-3230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1902271802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 303",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-557-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 303",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-557-8492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 N Los Coyotes Diagonal Ste 250",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908083939",
            "country_code": "US",
            "telephone_number": "562-496-3230",
            "fax_number": "562-496-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREGORY E. LE, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-495-0741",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.