Duong Le, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4476 Issued in AR

Practice address

1326 S Waldron Rd
Fort Smith, AR 72903-2556

Phone

(479) 484-0008

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Central Sa PLLC

  • Dental Clinic/Center
  • Fort Smith, AR
  • NPI 1194326488
  NPD
• Ocean Dental of Arkansas, PC

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1548302524

  General Practice

  NPD (past)
• Jasper Family Dental

  • Dentist
  • Jasper, TX
  • NPI 1699104000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1962054411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032556",
            "telephone_number": "479-484-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032556",
            "telephone_number": "479-484-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DUONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35290",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "38332752",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jasper",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "329 E Gibson St",
            "city": "Jasper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759515028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FortSmith",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1326 S Waldron Rd",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729032556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laws Drug Co Inc
• Laws Village Pharmacy, Inc.
• Casey Laws, D.O.
• Holly Renee Layes, M.S.E., CCC-SLP
• Le Western Dentistry, PLLC
• Isaac Tuan Le, DDS
• Candace Brooke Lea, MS, RDN, LDN
• Leann Lea, PHARMD
• Kelly Denisse Leader, LAC
• Bradley Richad Leamy, CRNA

• All providers in Fort Smith, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.