Individual provider Active NPI

David Q Le, DPM

  • Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1962566307
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
233 Issued in OK
Practice address
9315 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6913
Phone
(405) 691-9004
NPI assigned
Dec 20, 2006
Last updated
Mar 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD233 OK
Podiatrist 213E00000X 233 OK Primary

Addresses

Primary practice location

9315 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6913

Mailing address

9315 S. Pennsylvania Ave
Suite a
Okc, OK 73159-6913
Phone (405) 691-9004

Other identifiers 1

IdentifierTypeStateIssuer
200034100BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001391 OK Practitioner - Podiatry 3678553781 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3330 NW 56TH St
Suite 101
Oklahoma City, OK 73112-4426
Phone (405) 691-9004

9315 S Pennsylvania Ave
Suite a
Oklahoma City, OK 73159-6940
Phone (405) 691-9004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue423
Removal or shaving of skin growth109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD233OKMDFoot & Ankle Surgery Podiatrist
233OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Foot and Wound Center of Okfas Foot & Ankle Surgery CurrentSince May 8, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3330 NW 56th St
Ste 101
Oklahoma City, OK 73112
Phone (405) 691-9004

9315 S Pennsylvania Ave
Ste A
Oklahoma City, OK 73159
Phone (405) 691-9004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1962566307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 S. PENNSYLVANIA AVE",
            "address_2": "SUITE A",
            "city": "OKC",
            "state": "OK",
            "postal_code": "731596913",
            "telephone_number": "405-691-9004",
            "fax_number": "405-691-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596913",
            "telephone_number": "405-691-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DAVID",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "POD233",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034100B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.