Individual provider Active NPI

Rose Hoang Le, D.M.D.

  • Dentist
  • Lakewood Ranch, FL
National Provider Identifier
1972916930
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21146 Issued in FL
Practice address
5561 Broadcast CT
Lakewood Ranch, FL 34240
Phone
(561) 309-6657
NPI assigned
Jun 7, 2014
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN21146FLMDDentist
DN1857558MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Dental at Lakewood Ranch, PLLC Current Accepting new patients
FL Dental Centers PLLC Dentist PastSince Jan 1, 2021 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.

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.

Verify at the official NPI Registry.