Individual provider Active NPI

Steven T Le, DDS

  • Pediatric Dentistry
  • Westminster, CA
National Provider Identifier
1952449795
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58019 Issued in CA
Practice address
9550 Bolsa Ave Ste 218
Westminster, CA 92683-3308
Phone
(714) 766-4411
Fax
(714) 766-4443
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12010798A IN
Pediatric Dentistry 1223P0221X 58019 CA Primary

Addresses

Primary practice location

9550 Bolsa Ave Ste 218
Westminster, CA 92683-3308

Mailing address

9550 Bolsa Ave Ste 218
Westminster, CA 92683-5948
Phone (714) 766-4411

Other identifiers 1

IdentifierTypeStateIssuer
200800530AMedicaidIN

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

LicenseStateTypeSpecialty
58019CAMDPediatric Dentist
12010798AINMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Le Dental Corporation Pediatric Dentistry CurrentSince Apr 6, 2023 Accepting new patients

Locations

9550 Bolsa Ave
Ste 218
Westminster, CA 92683
Phone (714) 766-4411

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1952449795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 BOLSA AVE STE 218",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835948",
            "telephone_number": "714-766-4411",
            "fax_number": "714-766-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 BOLSA AVE STE 218",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833308",
            "telephone_number": "714-766-4411",
            "fax_number": "714-766-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "STEVEN",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010798A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.