Organization Active NPI

Dulles Vein and Surgical Clinics LLC

  • General Practice Physician
  • Ashburn, VA
National Provider Identifier
1245739762
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DULLES VEIN AND SURGICAL CLINICS LLC
Practice address
44355 Premier PLZ Ste 120
Ashburn, VA 20147-5050
Phone
(571) 639-9220
Fax
(844) 965-9773
NPI assigned
Feb 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Dingchao He, MD
Title
Provider
Phone
(202) 270-0159

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X 0101259677 VA
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

44355 Premier PLZ Ste 120
Ashburn, VA 20147-5050

Mailing address

25149 Deerhurst Ter
Chantilly, VA 20152-6099

Other practice location 1

3914 Centreville Rd
Chantilly, VA 20151-3289
Phone (571) 639-9220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1245739762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25149 DEERHURST TER",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526099",
            "fax_number": "844-965-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ STE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475050",
            "telephone_number": "571-639-9220",
            "fax_number": "844-965-9773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3914 Centreville Rd",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513289",
            "country_code": "US",
            "telephone_number": "571-639-9220",
            "fax_number": "844-965-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DULLES VEIN AND SURGICAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-10",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "DINGCHAO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "202-270-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "VA",
            "license": "0101259677",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.