Active NPI
Rose Hoang Le, D.M.D.
- Dentist
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21146
- Practice address
- 5561 Broadcast CT
Lakewood Ranch, FL 34240 - Phone
- (561) 309-6657
- NPI assigned
- Jun 7, 2014
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21146 | FL | Primary |
| Dentist | 122300000X | DN1857558 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA |
Addresses
Primary practice location
5561 Broadcast CT
Lakewood Ranch, FL 34240
Mailing address
315 Montgomery Ave
Sarasota, FL 34243-1518
Phone (561) 309-6657
Other practice location 1
10 High St Ste 333
Boston, MA 02110-1672
Phone (617) 982-0318
Other practice location 2
32 Tremont St
Boston, MA 02108-3201
Phone (617) 681-4188
Other practice location 3
5215 Manatee Ave W
Bradenton, FL 34209-3742
Phone (941) 792-7887
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 |
|---|---|---|---|
| DN21146 | FL | MD | Dentist |
| DN1857558 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Dental at Lakewood Ranch, PLLC | Current | Accepting new patients | |
| FL Dental Centers PLLC | Dentist | Past | Accepting new patients |
Locations
5561 Broadcast Ct
Lakewood Ranch, FL 34240
Phone (561) 309-6657
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.
-
- General Practice Dentistry
- Lakewood Ranch, FL
- NPI 1891468328
-
- Dentist
- Clearwater, FL
- NPI 1457072779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1972916930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MONTGOMERY AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342431518",
"telephone_number": "561-309-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5561 BROADCAST CT",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "34240",
"telephone_number": "561-309-6657"
}
],
"practiceLocations": [
{
"address_1": "10 High St Ste 333",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021101672",
"country_code": "US",
"telephone_number": "617-982-0318",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32 Tremont St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021083201",
"country_code": "US",
"telephone_number": "617-681-4188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5215 Manatee Ave W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342093742",
"country_code": "US",
"telephone_number": "941-792-7887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "ROSE",
"middle_name": "HOANG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-07",
"last_updated": "2021-08-31",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21146",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857558",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.