Active NPI
Amanda Le, DDS
- Dentist
- Rockwall, TX
National Provider Identifier
1982277802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37485
- Practice address
- 1039 E Interstate 30 Ste 107
Rockwall, TX 75087-4912 - Phone
- (972) 722-4914
- NPI assigned
- Jul 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37485 | TX | Primary |
Addresses
Primary practice location
1039 E Interstate 30 Ste 107
Rockwall, TX 75087-4912
Mailing address
2625 Rivercrest Dr
Sherman, TX 75092-2219
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 |
|---|---|---|---|
| 37485 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockwall Modern Dentistry and Orthodontics, PC | Past | 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.
-
- General Practice Dentistry
- Rockwall, TX
- NPI 1447519624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1982277802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 RIVERCREST DR",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 E INTERSTATE 30 STE 107",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874912",
"telephone_number": "972-722-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "AMANDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.