DR. THIEN-THAO LE DDS, MD
NPI 1366601486
Dentist - Oral and Maxillofacial Surgery in Boulder, CO

Active since June 04, 2008Opted out of Medicare · through Mar 19, 2028
1420 28TH ST STE 100, BOULDER, CO 80303(303) 444-2255(720) 565-1091 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 12, 2022, Nov 7, 2018 (2 updates tracked since 2018).

About Dr. Thien-thao Le Dds, Md NPPES

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

DR. THIEN-THAO LE DDS, MD (NPI 1366601486) is an individual oral and maxillofacial surgery provider in Boulder, Colorado, licensed in Colorado (202447) and active in the NPI registry since June 2008. She has opted out of Medicare through March 19, 2028.

NPPES Registry Identity

NPI1366601486
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THIEN-THAO LECredential: DDS, MD
Location Address1420 28TH ST STE 100Boulder, CO 80303-1081
Mailing Address1420 28th St Ste 100Boulder, CO 80303-1081 · (303) 444-2255 · Fax (720) 565-1091
Fax(720) 565-1091
Sole ProprietorNo
Enumeration DateJune 4, 2008
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1366601486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CO · 202447
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1420 28TH ST STE 100, Boulder, CO 80303

Accepted 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

Dr. Thien-thao Le Dds, Md 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 March 19, 2018 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2018
Opt-Out In Effect ThroughMarch 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
1420 28TH ST STE 100
BOULDER, CO 80303
Dentist (Oral and Maxillofacial Surgery)
1420 28TH ST STE 100
BOULDER, CO 80303

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 Thien-thao Le's NPI number?

The NPI number for Thien-thao Le is 1366601486. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Thien-thao Le located?

Thien-thao Le practices at 1420 28th St Ste 100, Boulder, CO 80303. The listed phone number is (303) 444-2255.

What is Thien-thao Le's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thien-thao Le enrolled in Medicare?

No. Thien-thao Le has opted out of Medicare through March 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Thien-thao Le accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thien-thao 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 Thien-thao Le was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.