Organization Active NPI

Le & Tran DDS PC

  • Dentist
  • Fairfax, VA
National Provider Identifier
1912919663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410629 Issued in VA
Legal business name
LE & TRAN DDS PC
Practice address
9600 I Main St
Fairfax, VA 22031
Phone
(703) 978-3541
Fax
(703) 978-3543
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Trung Qui Le, DDSNPI 1528232063
Title
President
Phone
(703) 978-3541

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410629 VA Primary

Addresses

Primary practice location

9600 I Main St
Fairfax, VA 22031

Mailing address

9600 I Main St
Fairfax, VA 22031
Phone (703) 978-3541

Other names 1

  • Fair City Mall Dental Other name

National Provider Directory

National Provider Directory

Locations

9600 Main St
Ste I
Fairfax, VA 22031
Phone (703) 978-3541

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912919663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 I MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-978-3541",
            "fax_number": "703-978-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 I MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-978-3541",
            "fax_number": "703-978-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE & TRAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "QUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-978-3541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair City Mall Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.