HOANH BA LE (NPI# 1205891355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205891355 |
| Entity Type | Individual |
| Full Name | HOANH BA LE |
| Credential | D.D.S |
| Practice Address |
430 N Woodlawn St Wichita KS 67208-4300 |
| Practice Telephone | 3166842100 |
| Practice Fax Number | 3166842101 |
| Mailing Telephone | 3166842100 |
| Mailing Fax Number | 3166842101 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6522 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 116771 | 01 |
| Street Address |
430 N WOODLAWN ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235352022 | Bodyworx Physical Therapy, P.a. | Dietitian, Registered | 430 N Woodlawn St, Suite 2, Wichita, KS 67208-4334 | 2007-04-10 |
| 1891918785 | Cody G Barnett | Physical Therapist | 430 N Woodlawn St, Suite 2, Wichita, KS 67208-4334 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093911513 | Matthew Healy | Dentist | 3933 N. Maize Rd, Ml 2006, Wichita, KS 67205-3039 | 2007-06-22 |
| 1245370345 | Kidspace Pediatric Dentistry,p.a | Dentist | 430 N Woodlawn St Ste 1, Wichita, KS 67208-4334 | 2007-02-07 |
| 1619983681 | Crystal Rachelle Walker | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2006-07-31 |
| 1376519439 | Stephen Phillip Moore | Dentist | 356 N Rock Rd, Wichita, KS 67206-2200 | 2006-02-27 |
| 1578553285 | Michael Francis Iseman | Dentist | 1230 N Broadmoor Ave, Suite 400, Wichita, KS 67206-3891 | 2005-10-24 |
| 1679041644 | Tiny Teeth Pediatric Dentistry, LLC | Dentist | 3933 N. Maize Rd, Suite 200, Wichita, KS 67205-6710 | 2018-11-08 |
| 1295071231 | Childrens Dentistry of Wichita | Dentist | 2143 N Collective Ln, Suite B, Wichita, KS 67206-3504 | 2012-12-19 |
| 1811266042 | Children's Dental Professionals | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2011-12-16 |
| 1013193028 | Crystal Walker, Dds, Pa | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2008-01-21 |
| 1811026115 | David James Brown II | Dentist | 356 N Rock Rd, Wichita, KS 67206-2200 | 2007-03-04 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.