Active NPI
Trung Q. Le, RDH
- Dental Hygienist
- Miami Gardens, FL
National Provider Identifier
1902322811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH16119
- Practice address
- 20612 NW 27TH Ave
Miami Gardens, FL 33056-1469 - Phone
- (305) 637-6400
- Fax
- (305) 636-5155
- NPI assigned
- Aug 22, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH16119 | FL | Primary |
Addresses
Primary practice location
20612 NW 27TH Ave
Miami Gardens, FL 33056-1469
Mailing address
5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022118900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH16119 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1902322811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 NW 27TH AVE STE 1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331422826",
"telephone_number": "305-805-1700",
"fax_number": "305-805-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20612 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330561469",
"telephone_number": "305-637-6400",
"fax_number": "305-636-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TRUNG",
"middle_name": "Q.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH16119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022118900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.