Organization Active NPI

Robert S. Strange

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leesburg, VA
National Provider Identifier
1144548447
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401006833 Issued in VA
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

Updated by the provider on May 11, 2010

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9179589MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.