Individual provider Active NPI

Dennis Robert Cantwell

  • Optometrist
  • Annandale, VA
National Provider Identifier
1144308594
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000023 Issued in VA
Practice address
7006 Little River Tpke Ste a
Annandale, VA 22003-3218
Phone
(703) 941-3937
Fax
(703) 941-4003
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000023 VA Primary

Addresses

Primary practice location

7006 Little River Tpke Ste a
Annandale, VA 22003-3218

Mailing address

7006 Little River Tpke Ste a
Annandale, VA 22003-3218
Phone (703) 941-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826001957 VA Practitioner - Optometry 1153510268 Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
857VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arman C. Moshyedi, MD, PLLC PastSince May 22, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1144308594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 LITTLE RIVER TPKE STE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033218",
            "telephone_number": "703-941-3937",
            "fax_number": "703-941-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 LITTLE RIVER TPKE STE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033218",
            "telephone_number": "703-941-3937",
            "fax_number": "703-941-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "DENNIS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.