Active NPI
Healthsmartvaccines, LLC
- Clinic/Center
- Chantilly, VA
National Provider Identifier
1548416985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0215000247
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Consultants
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Chantilly, VA
- NPI 1730163015
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.
-
- Durable Medical Equipment & Medical Supplies
- Chantilly, VA
- NPI 1730163015
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.