Individual provider Active NPI

Dinh Van Le, D.C.

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1053345637
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27110 Issued in CA
Practice address
7743 West Lane
Ste. B-2
Stockton, CA 95210-3348
Phone
(209) 952-1883
Fax
(209) 952-5439
NPI assigned
Jul 10, 2006
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27110 CA Primary

Addresses

Primary practice location

7743 West Lane
Ste. B-2
Stockton, CA 95210-3348

Mailing address

7743 West Lane
Ste. B-2
Stockton, CA 95210-3348
Phone (209) 952-1883

Other identifiers 1

IdentifierTypeStateIssuer
DC 27110OtherCAPRACTICE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27110CAMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1053345637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 WEST LANE",
            "address_2": "STE. B-2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103348",
            "telephone_number": "209-952-1883",
            "fax_number": "209-952-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 WEST LANE",
            "address_2": "STE. B-2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103348",
            "telephone_number": "209-952-1883",
            "fax_number": "209-952-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DINH",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LICENSE NUMBER",
            "identifier": "DC 27110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.