Individual provider Active NPI

Leslie Jung Ham

  • Chiropractor
  • Annandale, VA
National Provider Identifier
1841644952
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557273 Issued in VA
Practice address
7002 Little River Tpke
Ste J
Annandale, VA 22003-3200
Phone
(703) 715-7599
Fax
(571) 395-8289
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557273 VA Primary

Addresses

Primary practice location

7002 Little River Tpke
Ste J
Annandale, VA 22003-3200

Mailing address

7002 Little River Tpke
Ste J
Annandale, VA 22003-3200
Phone (703) 715-7599

Other practice location 1

8100 Boone Blvd Ste 250
Vienna, VA 22182-2642
Phone (571) 378-0780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628002418 DC Practitioner - Chiropractic 8123562345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557273VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ham & Lee Health Group LLC Chiropractor Current Accepting new patients

Locations

8100 Boone Blvd
Ste 250
Vienna, VA 22182
Phone (571) 378-0780

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1841644952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 LITTLE RIVER TPKE",
            "address_2": "STE J",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033200",
            "telephone_number": "703-715-7599",
            "fax_number": "571-395-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 LITTLE RIVER TPKE",
            "address_2": "STE J",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033200",
            "telephone_number": "703-715-7599",
            "fax_number": "571-395-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Boone Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822642",
            "country_code": "US",
            "telephone_number": "571-378-0780",
            "fax_number": "571-378-0784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "LESLIE",
        "middle_name": "JUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557273",
            "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 5, 2023; 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.