Organization Active NPI

J.R. Rios D.D.S., P.L.C.

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1043563133
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008601 Issued in VA
Legal business name
J.R. RIOS D.D.S., P.L.C.
Practice address
21495 Ridgetop Cir
Suite 200
Sterling, VA 20166-6512
Phone
(703) 450-8803
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mrs. Donna B Rios
Title
Practice Administrator
Phone
(703) 421-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401008601 VA Primary

Addresses

Primary practice location

21495 Ridgetop Cir
Suite 200
Sterling, VA 20166-6512

Mailing address

21495 Ridgetop Cir
Suite 200
Sterling, VA 20166-6512
Phone (703) 450-8803

National Provider Directory

National Provider Directory

Locations

21495 Ridgetop Cir
Ste 200
Sterling, VA 20166
Phone (703) 450-8803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1043563133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-450-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-450-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.R. RIOS D.D.S., P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-421-9755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.