Active NPI
Viet Le, D.C.
- Chiropractor
- Vienna, VA
National Provider Identifier
1417098179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555970
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104555970 | Other | VA | STATE LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001030203 | MO | MD | Professional 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.