Active NPI
Thien V Le, D.D.S
- General Practice Dentistry
- Annandale, VA
National Provider Identifier
1851548044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401412206
- Practice address
- 5105C Backlick Rd
Annandale, VA 22003-6042 - Phone
- (703) 942-6612
- Fax
- (703) 942-6683
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401412206 | VA | Primary |
Addresses
Primary practice location
5105C Backlick Rd
Annandale, VA 22003-6042
Mailing address
5217 Cather Rd
Springfield, VA 22151-3719
Phone (703) 347-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412206 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentist of America, PC | General Practice | Current | Accepting new patients |
| Jung S Pak DDS PC | Past | Accepting new patients |
Locations
5105C Backlick Rd
Annandale, VA 22003
Phone (703) 813-6009
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Alexandria, VA
- NPI 1063076602
-
- Dental Clinic/Center
- Fairfax, VA
- NPI 1366864480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1851548044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 CATHER RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513719",
"telephone_number": "703-347-3522",
"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": {
"last_name": "LE",
"first_name": "THIEN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_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 Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.