Robert E Moffitt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005997 Issued in VA

Practice address

7764 Armistead Rd
Suite 100
Lorton, VA 22079-1919

Phone

(703) 339-5090

Fax

(703) 339-1068

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aesthetic Dentistry of Lorton

  • General Practice Dentistry
  • Lorton, VA
  • NPI 1528396330
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063553907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 PARK RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101022",
            "telephone_number": "202-387-6043",
            "fax_number": "703-339-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD",
            "address_2": "SUITE 100",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791919",
            "telephone_number": "703-339-5090",
            "fax_number": "703-339-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "781417",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Zeinab Mohamed
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• General Practice Dentistry in Lorton, VA
• Providers in Lorton, VA by specialty
• General Practice Dentistry in Virginia

• 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.