Active NPI
Richard P. Rubino, DDS
- General Practice Dentistry
- Sterling, VA
National Provider Identifier
1114958477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401005797
- Practice address
- 46400 Benedict Dr
Suite 101
Sterling, VA 20164-6604 - Phone
- (703) 450-1408
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401005797 | VA | Primary |
Addresses
Primary practice location
46400 Benedict Dr
Suite 101
Sterling, VA 20164-6604
Mailing address
46400 Benedict Dr
Suite 101
Sterling, VA 20164-6604
Phone (703) 450-1408
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 |
|---|---|---|---|
| 0401005797 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436572800000",
"number": "1114958477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46400 BENEDICT DR",
"address_2": "SUITE 101",
"city": "STERLING",
"state": "VA",
"postal_code": "201646604",
"telephone_number": "703-450-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46400 BENEDICT DR",
"address_2": "SUITE 101",
"city": "STERLING",
"state": "VA",
"postal_code": "201646604",
"telephone_number": "703-450-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "RICHARD",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2015-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401005797",
"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 Jul 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.