Active NPI
Tri Le
- Dentist
- Gaithersburg, MD
National Provider Identifier
1962180729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17953
- Practice address
- 610 Professional Dr Ste 250
Gaithersburg, MD 20879-3466 - Phone
- (301) 963-5555
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17953 | MD | Primary |
Addresses
Primary practice location
610 Professional Dr Ste 250
Gaithersburg, MD 20879-3466
Mailing address
1824 Webster St
Baltimore, MD 21230-4755
Phone (443) 643-8246
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17953 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Nguyen DDS, LLC | Current | Accepting new patients |
Locations
610 Professional Dr
Ste 250
Gaithersburg, MD 20879
Phone (301) 963-5555
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Great Smiles Dental Care
- Dental Clinic/Center
- Gaithersburg, MD
- NPI 1366273625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1962180729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 WEBSTER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304755",
"telephone_number": "443-643-8246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 PROFESSIONAL DR STE 250",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793466",
"telephone_number": "301-963-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TRI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.