Active NPI
Ryan N Le DMD Inc
- General Practice Dentistry
- La Mirada, CA
National Provider Identifier
1952723033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58062
- Legal business name
- RYAN N LE DMD INC
- Doing business as
- Family Dental Works
- Practice address
- 15018 La Mirada Blvd
La Mirada, CA 90638 - Phone
- (714) 521-6827
- NPI assigned
- Jan 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Le, DMD
- Title
- Ceo/President
- Phone
- (714) 521-6827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58062 | CA | Primary |
Addresses
Primary practice location
15018 La Mirada Blvd
La Mirada, CA 90638
Mailing address
15018 La Mirada Blvd
La Mirada, CA 90638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851527253 | Other | CA | NPI TYPE 1 |
Other names 1
- Family Dental Works
National Provider Directory
National Provider DirectoryLocations
15018 La Mirada Blvd
La Mirada, CA 90638
Phone (714) 521-6827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389225600000",
"number": "1952723033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15018 LA MIRADA BLVD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15018 LA MIRADA BLVD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638",
"telephone_number": "714-521-6827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYAN N LE DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-09",
"last_updated": "2014-01-09",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "714-521-6827",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1851527253",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Dental Works",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.