Active NPI
Thutam Thi Le, DDS
- General Practice Dentistry
- Lake Charles, LA
National Provider Identifier
1922327014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6049
- Practice address
- 2802 Ryan St Ste 26
Lake Charles, LA 70601-7393 - Phone
- (318) 219-5167
- NPI assigned
- May 27, 2010
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6049 | LA | Primary |
Addresses
Primary practice location
2802 Ryan St Ste 26
Lake Charles, LA 70601-7393
Mailing address
755 Sherwood Forest Blvd
Baton Rouge, LA 70815-5261
Phone (225) 505-6652
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 |
|---|---|---|---|
| 6049 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1922327014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708155261",
"telephone_number": "225-505-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 RYAN ST STE 26",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017393",
"telephone_number": "318-219-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "THUTAM",
"middle_name": "THI",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- LCMS Pulmonary Associates of Southwest Louisiana
- LCMS Rehabilitation Institute of Southwest Louisiana
- LCMS Surgical Associates of Southwest Lousiana, LLC
- Binh T Le, PHARM D.
- Nu Le, PHARM.D
- Trang Le, DDS
- Leading Health Care of la
- Leading Health Care of la
- Leading Health Care of la
- Leading Health Care of la
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.