Active NPI
Yen V, Le, D.D.S., P.C.
- General Practice Dentistry
- Annandale, VA
National Provider Identifier
1831408087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401410716
- Legal business name
- YEN V, LE, D.D.S., P.C.
- Practice address
- 4216 Evergreen LN Ste 113
Annandale, VA 22003-3253 - Phone
- (703) 941-2763
- Fax
- (703) 941-2763
- NPI assigned
- Oct 5, 2010
- Organization subpart
- No
NPPES NPI Registry
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.S
- Title
- President
- Phone
- (703) 941-2763
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Annandale, VA
- NPI 1356580708
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.