ANNIE LEDOUX DDS
NPI 1689933178
Dentist in Los Angeles, CA
About Annie Ledoux Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE LEDOUX DDS (NPI 1689933178) is an individual dentist in Los Angeles, California, licensed in California (61188) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annie Ledoux Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Annie Ledoux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90022
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
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 Annie Ledoux's NPI number?
The NPI number for Annie Ledoux is 1689933178. It was assigned to this individual provider in the NPPES registry on May 3, 2012.
Where is Annie Ledoux located?
Annie Ledoux practices at 4816 E 3rd St, Los Angeles, CA 90022. The listed phone number is (323) 780-4510.
What is Annie Ledoux's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Annie Ledoux enrolled in Medicare?
Yes. Annie Ledoux is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Annie Ledoux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annie Ledoux reassigns Medicare benefits to Gracelight Community Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annie Ledoux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annie Ledoux 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 Annie Ledoux 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 Annie Ledoux was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Annie Ledoux, DDS · NPI 1689933178
Dentist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 3, 2012.
## Identity
- **NPI:** 1689933178 (Entity type: Individual)
- **Enumerated:** May 3, 2012
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 61188 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4816 E 3RD ST, Los Angeles, CA 90022-1602
- **Phone:** (323) 780-4510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gracelight Community Health (NPI 1104075282, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1689933178) · Data from the CMS NPPES public registry.