Organization Active NPI

Healthsmartvaccines, LLC

  • Clinic/Center
  • Chantilly, VA
National Provider Identifier
1548416985
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0215000247 Issued in VA
Legal business name
HEALTHSMARTVACCINES, LLC
Practice address
4437 Brookfield Corporate Dr
#203
Chantilly, VA 20151-2122
Phone
(703) 961-0734
Fax
(703) 961-0732
NPI assigned
Aug 18, 2008
Organization subpart
Yes
Parent organization
AMERICAN PEDIATRIC CONSULTANTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Richard L. Miles
Title
President
Phone
(703) 961-0734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0215000247 VA Primary

Addresses

Primary practice location

4437 Brookfield Corporate Dr
#203
Chantilly, VA 20151-2122

Mailing address

4437 Brookfield Corporate Dr
#203
Chantilly, VA 20151-2122
Phone (703) 961-0734

National Provider Directory

National Provider Directory
Tax ID family
American Pediatric Consultants2 organizations share this tax ID, including this one
Part of
American Pediatric Consultants

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1548416985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 BROOKFIELD CORPORATE DR",
            "address_2": "#203",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512122",
            "telephone_number": "703-961-0734",
            "fax_number": "703-961-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 BROOKFIELD CORPORATE DR",
            "address_2": "#203",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512122",
            "telephone_number": "703-961-0734",
            "fax_number": "703-961-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSMARTVACCINES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN PEDIATRIC CONSULTANTS, INC.",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-961-0734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0215000247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.