Organization Active NPI

Phu T. Le, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vienna, VA
National Provider Identifier
1891068268
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401411700 Issued in VA
Legal business name
PHU T. LE, DDS, PC
Doing business as
Tysons Orthodontic Care
Practice address
8227 Old Courthouse Rd
Suite 210
Vienna, VA 22182-3815
Phone
(703) 288-4862
Fax
(703) 288-4863
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Phu Le, DDSNPI 1295809044
Title
President
Phone
(202) 257-0113

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401411700 VA Primary

Addresses

Primary practice location

8227 Old Courthouse Rd
Suite 210
Vienna, VA 22182-3815

Mailing address

8227 Old Courthouse Rd
Suite 210
Vienna, VA 22182-3815
Phone (703) 288-4862

Other names 1

  • Tysons Orthodontic Care Doing business as

National Provider Directory

National Provider Directory

Locations

8227 Old Courthouse Rd
Ste 210
Vienna, VA 22182
Phone (703) 288-4862

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1891068268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 OLD COURTHOUSE RD",
            "address_2": "SUITE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823815",
            "telephone_number": "703-288-4862",
            "fax_number": "703-288-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 OLD COURTHOUSE RD",
            "address_2": "SUITE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823815",
            "telephone_number": "703-288-4862",
            "fax_number": "703-288-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHU T. LE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-257-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401411700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tysons Orthodontic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.