Organization Active NPI

Jerrold H Epstein Dos PC

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1043324072
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006483 Issued in VA
Legal business name
JERROLD H EPSTEIN DOS PC
Practice address
6200 A Old Franconia Road
Alexandria, VA 22310-3408
Phone
(703) 922-5404
Fax
(703) 922-5406
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jerrold Hart Epstein, DDSNPI 1518353804
Title
President
Phone
(703) 922-5404

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401006483 VA Primary

Addresses

Primary practice location

6200 A Old Franconia Road
Alexandria, VA 22310-3408

Mailing address

6200 A Old Franconia Road
Alexandria, VA 22310-3408
Phone (703) 922-5404

Other identifiers 1

IdentifierTypeStateIssuer
782130OtherUNITED CONCORDIA INSURANC

National Provider Directory

National Provider Directory

Locations

6200 Old Franconia Rd
Ste A
Alexandria, VA 22310
Phone (703) 884-8494

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043324072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 A OLD FRANCONIA ROAD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103408",
            "telephone_number": "703-922-5404",
            "fax_number": "703-922-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 A OLD FRANCONIA ROAD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103408",
            "telephone_number": "703-922-5404",
            "fax_number": "703-922-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD H EPSTEIN DOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-922-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "782130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.