Individual provider Active NPI

Kevin Dinh Hieu Le

  • Dentist
  • Henderson, NV
National Provider Identifier
1982122099
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7505 Issued in NV
Practice address
771 E Horizon Dr Ste 176
Henderson, NV 89015-8408
Phone
(559) 916-9284
NPI assigned
Sep 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101977 CA
Dentist 122300000X 7505 NV Primary

Addresses

Primary practice location

771 E Horizon Dr Ste 176
Henderson, NV 89015-8408

Mailing address

5530 Knights Valley CT
Las Vegas, NV 89141-8780
Phone (559) 916-9284

Other practice location 1

8650 W Spring Moutain Rd
#101
Las Vegas, NV 89117
Phone (702) 869-0032

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
101977CAMDDentist
7505NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
KDHL PLLC Dentist CurrentSince Apr 17, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1982122099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 KNIGHTS VALLEY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418780",
            "telephone_number": "559-916-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E HORIZON DR STE 176",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158408",
            "telephone_number": "559-916-9284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8650 W Spring Moutain Rd",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89117",
            "country_code": "US",
            "telephone_number": "702-869-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KEVIN",
        "middle_name": "DINH HIEU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101977",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.