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GABRIELLE LE
NPI 1225693633
Dentist - Pediatric Dentistry in Silver Spring, MD

Active since May 01, 2019Opted out of Medicare · through Jul 30, 2028
12520 PROSPERITY DR STE 300, SILVER SPRING, MD 20904(301) 989-8994 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Nov 17, 2020, Jun 9, 2020 and 2 more (5 updates tracked since 2019).

About Gabrielle Le NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIELLE LE (NPI 1225693633) is an individual pediatric dentistry provider in Silver Spring, Maryland, licensed in Maryland (16832) and active in the NPI registry since May 2019. She has opted out of Medicare through July 30, 2028 and remains eligible to order and refer and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1225693633
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameGABRIELLE LE
Location Address12520 PROSPERITY DR STE 300Silver Spring, MD 20904-1664
Mailing Address6336 Red Haven RdColumbia, MD 21045-4473 · (443) 938-7062
Phone(301) 989-8994
Sole ProprietorNo
Enumeration DateMay 1, 2019
Last NPPES UpdateJuly 21, 20265 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1225693633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MD · 16832
Definition
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 16832 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12520 PROSPERITY DR STE 300, Silver Spring, MD 20904
Open in Google Maps ↗

Secondary Practice Location 1

Location 1205 Washington RdWestminster, MD 21157 · Phone (443) 487-9435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gabrielle Le has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2020 through July 30, 2028.

Opt-Out Effective DateJuly 30, 2020
Opt-Out In Effect ThroughJuly 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMPS PEDIATRIC DENTAL CENTER
Dentist (Pediatric Dentistry)
12520 PROSPERITY DR STE 300
SILVER SPRING, MD 20904
Montgomery County (301) 989-8994
DR. ROBERT DAVID CAMPS DDS
Dentist (Pediatric Dentistry)
12520 PROSPERITY DR STE 300
SILVER SPRING, MD 20904
Montgomery County (301) 989-8994
DR. SURINA DAS
Dentist (Pediatric Dentistry)
12520 PROSPERITY DR STE 300
SILVER SPRING, MD 20904
Montgomery County (301) 989-8994
DR. TIFFANY D GAVIN WALKER DMD
Dentist (Pediatric Dentistry)
12520 PROSPERITY DR STE 300
SILVER SPRING, MD 20904
Montgomery County (301) 989-8991
RUPIKA MATHUR MELWANI DMD
Dentist (Pediatric Dentistry)
12520 PROSPERITY DR STE 300
SILVER SPRING, MD 20904
Montgomery County (301) 989-8994
DR. JESSICA ALLISON CHORVINSKY D.D.S.
Dentist (Pediatric Dentistry)
12520 PROSPERITY DR STE 300
SILVER SPRING, MD 20904
Montgomery County (301) 989-8994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabrielle Le's NPI number?

The NPI number for Gabrielle Le is 1225693633. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Gabrielle Le located?

Gabrielle Le practices at 12520 Prosperity Dr Ste 300, Silver Spring, MD 20904. The listed phone number is (301) 989-8994.

What is Gabrielle Le's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Gabrielle Le enrolled in Medicare?

No. Gabrielle Le has opted out of Medicare through July 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gabrielle Le accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 3 other insurers list Gabrielle Le as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gabrielle Le was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.