NPIMap

Organization Active NPI

Tommy C Le DDS, a Professional Dental Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1992129696
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57630 Issued in CA
Legal business name
TOMMY C LE DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
1641 E 17TH St
Suite B
Santa Ana, CA 92705-8535
Phone
(714) 542-7400
Fax
(714) 543-3536
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dr. Tommy Cuong Le, D.D.S.
Title
Dentist
Phone
(714) 454-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 57630 CA Primary

Addresses

Primary practice location

1641 E 17TH St
Suite B
Santa Ana, CA 92705-8535

Mailing address

1641 E 17TH St
Suite B
Santa Ana, CA 92705-8535
Phone (714) 542-7400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1992129696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E 17TH ST",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058535",
            "telephone_number": "714-542-7400",
            "fax_number": "714-543-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E 17TH ST",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058535",
            "telephone_number": "714-542-7400",
            "fax_number": "714-543-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY C LE DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "CUONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-454-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.