Individual provider Active NPI

Joseph A. Ruzzo, DDS

  • General Practice Dentistry
  • McLean, VA
National Provider Identifier
1033320775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007425 Issued in VA
Practice address
7901 Jones Branch Dr., Suite 220
McLean, VA 22102-3338
Phone
(703) 448-3312
Fax
(703) 448-3938
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007425 VA Primary

Addresses

Primary practice location

7901 Jones Branch Dr., Suite 220
McLean, VA 22102-3338

Mailing address

7901 Jones Branch Dr
220
McLean, VA 22102-3338
Phone (703) 448-3312

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

LicenseStateTypeSpecialty
0401007425VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033320775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 JONES BRANCH DR",
            "address_2": "220",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023338",
            "telephone_number": "703-448-3312",
            "fax_number": "703-448-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 JONES BRANCH DR., SUITE 220",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023338",
            "telephone_number": "703-448-3312",
            "fax_number": "703-448-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZZO",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.