NPIMap

Organization Active NPI

Yen V, Le, D.D.S., P.C.

Doing business as Aesthetic and Family Dentistry

  • General Practice Dentistry
  • Annandale, VA
National Provider Identifier
1831408087
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410716 Issued in VA
Legal business name
YEN V, LE, D.D.S., P.C.
Doing business as
Aesthetic and Family Dentistry
Practice address
4216 Evergreen LN Ste 113
Annandale, VA 22003-3253
Phone
(703) 941-2763
Fax
(703) 941-2763
NPI assigned
Oct 5, 2010
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Yen Van Le, D.D.SNPI 1427146729
Title
President
Phone
(703) 941-2763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410716 VA Primary

Addresses

Primary practice location

4216 Evergreen LN Ste 113
Annandale, VA 22003-3253

Mailing address

4216 Evergreen LN Ste 113
Annandale, VA 22003-3253
Phone (703) 941-2763

Other names 1

  • Aesthetic and Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1831408087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN STE 113",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033253",
            "telephone_number": "703-941-2763",
            "fax_number": "703-941-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN STE 113",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033253",
            "telephone_number": "703-941-2763",
            "fax_number": "703-941-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEN V, LE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "YEN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-941-2763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2010; 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.