Jeremy MH Le

Primary specialty

DentistTaxonomy code 122300000X

License

7123 Issued in LA

Practice address

5934 W Main St
Houma, LA 70360-1715

Phone

(504) 610-3601

NPI assigned

Jul 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1902415045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703601715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703601715",
            "telephone_number": "504-610-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4686 LA-1",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "70394",
            "country_code": "US",
            "telephone_number": "985-537-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JEREMY",
        "middle_name": "MH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Lavigne, CRNA
• Wendy Matherne Lawhorn, M.S. CCC-SLP
• Bennie Falgout Lawrence, L.O.T.R.
• Carrie L Lawrence, RD
• Thomas Lawson III, FNP
• Steven Binh Le, D.D.S.
• Robert J Leaber III
• Lisa Leal
• Diana Michel Leblanc, FNP-C
• Ellen Leblanc

• Dentist in Houma, LA
• Providers in Houma, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.

Verify at the official NPI Registry.