EVERGREEN FAMILY DENTISTRY
NPI 1134520943
Preferred Provider Organization in San Jose, CA

NPI Status: Active since September 11, 2014

Contact Information

3151 S WHITE RD
STE 204
SAN JOSE, CA
ZIP 95148
Phone: (408) 270-1120
Fax: (408) 270-1026

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  • Preferred Provider Organization

About EVERGREEN FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Evergreen Family Dentistry, a provider established in San Jose, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1134520943 assigned on September 2014. The practitioner's primary taxonomy code is 305R00000X with license number 39029 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Evergreen Family Dentistry. The authorized official of this NPI record is Dr. Luan Tran Le Dds (Dentist/president)

NPI
1134520943
Provider Legal Name
LLUAN T. LE, DDS, INC
Other Organization Name
EVERGREEN FAMILY DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3151 S WHITE RD STE 204 SAN JOSE, CA 95148
Location Phone
(408) 270-1120
Location Fax
(408) 270-1026
Mailing Address
3151 S WHITE RD STE 204 SAN JOSE, CA 95148
Mailing Phone
(408) 270-1120
Mailing Fax
(408) 270-1026
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2014
Last Update Date
09-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
39029
License State
CA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LUAN TRAN LE DDS

Authorized Official Title
DENTIST/PRESIDENT
Authorized Official Phone
(408) 270-1120

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134520943
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164102098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 2 + 0 + 9 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1134520943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174542658DR. LUAN TRAN LE DDS
Individual
Dentist3151 S WHITE RD 204
SAN JOSE, CA 95148
(408) 270-1120
1124126206DR. CONNIE I. KAIS D.D.S.
Individual
Dentist (General Practice)3151 S WHITE RD #101
SAN JOSE, CA 95148
(408) 270-2273
1639252679 FEDERICO CACERES DDS
Individual
Dentist (General Practice)3151 S WHITE RD SUITE 101
SAN JOSE, CA 95148
(408) 223-9600
1376695460DR. WESLEY K CHAN D.D.S.
Individual
Dentist (General Practice)3151 S WHITE RD SUITE 209
SAN JOSE, CA 95148
(408) 238-6474
1205050432DR. LESLIE C SUGIMOTO D.D.S.
Individual
Dentist (General Practice)3151 S WHITE RD SUITE 211
SAN JOSE, CA 95148
(408) 238-6230
1114119401DR. LESLIE WILLIAM JOW DDS
Individual
Dentist (General Practice)3151 S WHITE RD SUITE 208
SAN JOSE, CA 95148
(408) 238-4220
1124201181LUAN T. LE, D.D.S. , INC.
Organization
Dentist (General Practice)3151 S WHITE RD SUITE 204
SAN JOSE, CA 95148
(408) 270-1120
1114201555DR. JOHN W WONG
Individual
Dentist3151 S WHITE RD SUITE 201
SAN JOSE, CA 95148
(408) 945-9911
1124257225DR. MANDEEP KAUR DDS
Individual
Dentist (General Practice)3151 S WHITE RD SUITE 101
SAN JOSE, CA 95148
(408) 223-9600
1841398054HENRY S CHANG DDS INC
Organization
Dentist3151 S WHITE RD #203
SAN JOSE, CA 95148
(408) 238-7646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134520943, enumerated in the NPI registry as an "organization" on September 11, 2014

The provider is located at 3151 S White Rd Ste 204 San Jose, Ca 95148 and the phone number is (408) 270-1120

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

This NPI record was last updated on September 11, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.