Active NPI
Robert S. Strange
- Orthodontics and Dentofacial Orthopedics Dentistry
- Leesburg, VA
National Provider Identifier
1144548447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401006833
- Legal business name
- ROBERT S. STRANGE
- Practice address
- 17 Fort Evans Rd NE Ste E
Leesburg, VA 20176-4400 - Phone
- (703) 777-9200
- NPI assigned
- May 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Ann Garrett
- Title
- Office Manager
- Phone
- (703) 777-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401006833 | VA | Primary |
Addresses
Primary practice location
17 Fort Evans Rd NE Ste E
Leesburg, VA 20176-4400
Mailing address
17 Fort Evans Rd NE Ste E
Leesburg, VA 20176-4400
Phone (703) 777-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9179589 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
17 Fort Evans Rd NE
Ste E
Leesburg, VA 20176
Phone (703) 777-9200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Leesburg, VA
- NPI 1407189137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1144548447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FORT EVANS RD NE STE E",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764400",
"telephone_number": "703-777-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 FORT EVANS RD NE STE E",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764400",
"telephone_number": "703-777-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT S. STRANGE",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "703-777-9200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401006833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9179589",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.