BRANDON THIEN LE DDS
NPI 1689492795
Dentist in Los Angeles, CA

Q: What is Brandon Le's NPI number?

The NPI number for Brandon Le is 1689492795. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Q: What is Brandon Le's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Le was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 27, 2024PECOS Enrolled

1530 S OLIVE ST, LOS ANGELES, CA 90015(213) 747-5542 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Sep 27, 2024 (2 updates tracked since 2024).

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About Brandon Thien Le Dds NPPES

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

BRANDON THIEN LE DDS (NPI 1689492795) is an individual dentist in Los Angeles, California, licensed in California (110855) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1689492795

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBRANDON THIEN LECredential: DDS

Location Address1530 S OLIVE STLos Angeles, CA 90015-3023

Mailing Address1530 S Olive StLos Angeles, CA 90015-3023

Phone(213) 747-5542

Sole ProprietorYes

Enumeration DateSeptember 27, 2024

Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1689492795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 110855

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1530 S OLIVE ST, Los Angeles, CA 90015

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Secondary Practice Location 1

Location 14165 Beverly BlvdLos Angeles, CA 90004-4418 · Phone (213) 460-2846

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Thien Le Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

MS. ANA MARISELA MANCILLA

Specialist/Technologist (Speech-Language Assistant)