Active NPI
Chinh Van Le, M.D.
- Family Medicine Physician
- Dorchester, MA
National Provider Identifier
1154321347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48346
- Practice address
- 2100 Dorchester Avenue
Family Medicine
Dorchester, MA 02124 - Phone
- (617) 506-4970
- Fax
- (617) 825-2352
- NPI assigned
- Jul 28, 2005
- Last updated
- Mar 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48346 | MA | Primary |
Addresses
Primary practice location
2100 Dorchester Avenue
Family Medicine
Dorchester, MA 02124
Mailing address
2100 Dorchester Avenue
Family Medicine
Dorchester, MA 02124
Phone (617) 506-4970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087006 | Medicaid | MA |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1154321347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVENUE",
"address_2": "FAMILY MEDICINE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-506-4970",
"fax_number": "617-825-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVENUE",
"address_2": "FAMILY MEDICINE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-506-4970",
"fax_number": "617-825-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CHINH",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "48346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087006",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.