Active NPI
Le Visage ENT & Facial Plastic
- Specialist
- Bethesda, MD
National Provider Identifier
1427088731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D00040031
- Legal business name
- LE VISAGE ENT & FACIAL PLASTIC
- Practice address
- 6410 Rockledge Dr
#650
Bethesda, MD 20817-1809 - Phone
- (301) 897-5858
- Fax
- (301) 897-5860
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Duane Jon Taylor, MD
- Title
- Owner
- Phone
- (301) 897-5858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D00040031 | MD | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X |
Addresses
Primary practice location
6410 Rockledge Dr
#650
Bethesda, MD 20817-1809
Mailing address
6410 Rockledge Dr
#650
Bethesda, MD 20817-1809
Phone (301) 897-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6410 Rockledge Dr
Ste 650
Bethesda, MD 20817
Phone (301) 581-0170
43 Randolph Rd
Silver Spring, MD 20904
Phone (202) 345-7852
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Bethesda, MD
- NPI 1336118462
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1427088731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "#650",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-897-5858",
"fax_number": "301-897-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "#650",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-897-5858",
"fax_number": "301-897-5860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE VISAGE ENT & FACIAL PLASTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DUANE",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-897-5858",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D00040031",
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.