Individual provider Active NPI

Viet Le, D.C.

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1417098179
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555970 Issued in VA
Practice address
115 Beulah Rd NE Ste 100D
Vienna, VA 22180-4712
Phone
(703) 729-5600
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555970 VA Primary

Addresses

Primary practice location

115 Beulah Rd NE Ste 100D
Vienna, VA 22180-4712

Mailing address

115 Beulah Rd NE Ste 100D
Vienna, VA 22180-4712
Phone (703) 729-5600

Other practice location 1

20925 Professional Plz
Suite 320
Ashburn, VA 20147-3403
Phone (703) 729-5600

Other identifiers 1

IdentifierTypeStateIssuer
0104555970OtherVASTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140929001626 VA Practitioner - Chiropractic 8022238898
I20180718000658 DC Practitioner - Chiropractic 8022238898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001030203MOMDProfessional Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417098179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BEULAH RD NE STE 100D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804712",
            "telephone_number": "703-729-5600",
            "fax_number": "703-890-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BEULAH RD NE STE 100D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804712",
            "telephone_number": "703-729-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20925 Professional Plz",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473403",
            "country_code": "US",
            "telephone_number": "703-729-5600",
            "fax_number": "703-890-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "VIET",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "0104555970",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.