Active NPI
Jackie Nhung Le
- Dentist
- Charlotte, NC
National Provider Identifier
1942059092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13782
- Practice address
- 2135 Ayrsley Town Blvd
Charlotte, NC 28273-3541 - Phone
- (980) 297-7071
- NPI assigned
- May 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 13782 | NC | Primary |
Addresses
Primary practice location
2135 Ayrsley Town Blvd
Charlotte, NC 28273-3541
Mailing address
5735 Castlerea Dr
Charlotte, NC 28217-0439
Phone (828) 318-7375
Other practice location 1
526 Main Street
Pineville, NC 28134
Phone (704) 889-7525
Other practice location 2
2300 Ramsey St
Fayetteville, NC 28301-3856
Phone (910) 488-2120
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey L. Norris, D.M.D., P.a. | Past | Accepting new patients | |
| Katherine S Pak, DDS PLLC | Dentist | Past | Accepting new patients |
| Robert C Phillilps Jr DDS PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Charlotte, NC
- NPI 1558607150
-
- General Practice Dentistry
- Pineville, NC
- NPI 1467610865
-
- General Practice Dentistry
- Pineville, NC
- NPI 1215206933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1942059092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5735 CASTLEREA DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282170439",
"telephone_number": "828-318-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 AYRSLEY TOWN BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733541",
"telephone_number": "980-297-7071"
}
],
"practiceLocations": [
{
"address_1": "526 Main Street",
"address_purpose": "LOCATION",
"city": "Pineville",
"state": "NC",
"postal_code": "28134",
"country_code": "US",
"telephone_number": "704-889-7525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Ramsey St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283013856",
"country_code": "US",
"telephone_number": "910-488-2120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "JACKIE",
"middle_name": "NHUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2025-07-30",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.