Le Bustiere Boutique LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

400314900285 Issued in DC

Legal business name

LE BUSTIERE BOUTIQUE LLC

Practice address

1744 Columbia Rd NW
#2
Washington, DC 20009-2881

Phone

(202) 745-8080

Fax

(202) 745-8081

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Stephanie Jacek

Title

Manager

Phone

(202) 745-8080

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1639570559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 COLUMBIA RD NW",
            "address_2": "#2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092881",
            "telephone_number": "202-745-8080",
            "fax_number": "202-745-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 COLUMBIA RD NW",
            "address_2": "#2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092881",
            "telephone_number": "202-745-8080",
            "fax_number": "202-745-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE BUSTIERE BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "JACEK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-745-8080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DC",
            "license": "400314900285",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DC",
            "license": "400314900285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bao-Quyen Thi Le, DMD
• Hai Ngoc Le
• Jennifer Le
• Jeremy Vinh Dinh Le
• Kendra Le

• Durable Medical Equipment & Medical Supplies in Washington, DC
• Providers in Washington, DC by specialty
• Durable Medical Equipment & Medical Supplies in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.