Individual provider Active NPI

Hung Q Le, DDS

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1932284445
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49132 Issued in CA
Practice address
9575 Laguna Springs Dr Ste 102
Elk Grove, CA 95758-8207
Phone
(916) 691-1141
Fax
(916) 691-1119
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49132 CA Primary

Addresses

Primary practice location

9575 Laguna Springs Dr Ste 102
Elk Grove, CA 95758-8207

Mailing address

9575 Laguna Springs Dr Ste 102
Elk Grove, CA 95758-8207
Phone (916) 691-1141

Other practice location 1

6360 Pacific Ave Ste 2
Stockton, CA 95207-3723
Phone (209) 851-2171

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031001369 CA Practitioner - Oral Surgery 8628204963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49132CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Le & Luu Dental Corp Past Accepting new patients

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1932284445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9575 LAGUNA SPRINGS DR STE 102",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588207",
            "telephone_number": "916-691-1141",
            "fax_number": "916-691-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 LAGUNA SPRINGS DR STE 102",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588207",
            "telephone_number": "916-691-1141",
            "fax_number": "916-691-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 Pacific Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952073723",
            "country_code": "US",
            "telephone_number": "209-851-2171",
            "fax_number": "209-851-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "HUNG",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.