Organization Active NPI

Thien V Le DDS PC

  • General Practice Dentistry
  • Annandale, VA
National Provider Identifier
1700241486
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412206 Issued in VA
Legal business name
THIEN V LE DDS PC
Practice address
5105C Backlick Rd
Annandale, VA 22003-6042
Phone
(703) 942-6612
Fax
(703) 942-6683
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Thien V Le
Title
Owner
Phone
(706) 942-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401412206 VA Primary

Addresses

Primary practice location

5105C Backlick Rd
Annandale, VA 22003-6042

Mailing address

6815 Hopewell Ave
Springfield, VA 22151-3841
Phone (703) 942-6612

National Provider Directory

National Provider Directory

Locations

5105C Backlick Rd
Annandale, VA 22003
Phone (703) 813-6009

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1700241486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 HOPEWELL AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513841",
            "telephone_number": "703-942-6612",
            "fax_number": "703-942-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105C BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036042",
            "telephone_number": "703-942-6612",
            "fax_number": "703-942-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIEN V LE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THIEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-942-6612"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.