Organization Active NPI

The Virginia Institute PLLC

  • Facial Plastic Surgery Physician
  • Chantilly, VA
National Provider Identifier
1770835480
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
0101246352 Issued in VA
Legal business name
THE VIRGINIA INSTITUTE PLLC
Practice address
25055 Riding PLZ
Suite 140
Chantilly, VA 20152-5917
Phone
(703) 327-8200
Fax
(703) 327-7800
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Trang T. Vo-Nguyen, MDNPI 1164483517
Title
Owner/Physician
Phone
(703) 327-8200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X 0101246352 VA Primary

Addresses

Primary practice location

25055 Riding PLZ
Suite 140
Chantilly, VA 20152-5917

Mailing address

25055 Riding PLZ
Suite 140
Chantilly, VA 20152-5917
Phone (703) 327-8200

Other identifiers 1

IdentifierTypeStateIssuer
0101246352OtherMDMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121212000170 VA Part B Supplier - Clinic/Group Practice 7315199742 Receives reassigned benefits from 1 practitioner
Practice locations: Chantilly, VA

National Provider Directory

National Provider Directory

Locations

25055 Riding Plz
Ste 140
South Riding, VA 20152
Phone (703) 327-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1770835480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ",
            "address_2": "SUITE 140",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525917",
            "telephone_number": "703-327-8200",
            "fax_number": "703-327-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ",
            "address_2": "SUITE 140",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525917",
            "telephone_number": "703-327-8200",
            "fax_number": "703-327-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VIRGINIA INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "VO-NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "703-327-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101246352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101246352",
            "state": "MD"
        }
    ],
    "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 Oct 4, 2012; 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.

Verify at the official NPI Registry.