Active NPI
Steve Juh Lan, D.D.S.
- Pediatric Dentistry
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401412388
- Practice address
- 1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718 - Phone
- (703) 771-0007
- Fax
- (703) 771-6088
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401412388 | VA | Primary |
Addresses
Primary practice location
1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718
Mailing address
22425 Belle Terra Dr
Ashburn, VA 20148-7160
Phone (703) 771-0007
Other practice location 1
43490 Yukon Dr Ste 105
Ashburn, VA 20147-7303
Phone (703) 665-4955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035518600 | Medicaid | VA |
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 |
|---|---|---|---|
| 0401412388 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steve J Lan DDS PC | Pediatric Dentistry | Current | Accepting new patients |
| S. J. Lan DDS PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Steve J Lan DDS PC | Pediatric Dentistry | Current | Accepting new patients |
Locations
43490 Yukon Dr
Ste 105
Ashburn, VA 20147
Phone (703) 665-4955
540 Fort Evans Rd
Ste 110
Leesburg, VA 20176
Phone (703) 777-6550
1503 Dodona Ter
Ste 200
Leesburg, VA 20175
Phone (703) 771-0007
Organizations & group practices 3
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.
-
- Pediatric Dentistry
- Ashburn, VA
- NPI 1275037384
-
- Pediatric Dentistry
- Leesburg, VA
- NPI 1174821003
-
- Pediatric Dentistry
- Leesburg, VA
- NPI 1962884098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1033369574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22425 BELLE TERRA DR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201487160",
"telephone_number": "703-771-0007",
"fax_number": "703-771-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 DODONA TER STE 200",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754718",
"telephone_number": "703-771-0007",
"fax_number": "703-771-6088"
}
],
"practiceLocations": [
{
"address_1": "43490 Yukon Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201477303",
"country_code": "US",
"telephone_number": "703-665-4955",
"fax_number": "703-665-4551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAN",
"first_name": "STEVE",
"middle_name": "JUH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-20",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401412388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035518600",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.