Active NPI
Jennifer Cecil Bobbio, D.D.S.
- General Practice Dentistry
- Arlington, VA
National Provider Identifier
1164727889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401413129
- Practice address
- 1515 Wilson Blvd Ste 103
Arlington, VA 22209-2402 - Phone
- (703) 528-3336
- Fax
- (703) 524-2206
- NPI assigned
- Jan 12, 2011
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 0401413129 | VA | Primary |
Addresses
Primary practice location
1515 Wilson Blvd Ste 103
Arlington, VA 22209-2402
Mailing address
42206 Bunker Woods PL
Brambleton, VA 20148-6434
Phone (703) 402-0281
Other practice location 1
3903 Fair Ridge Dr Ste 214
Fairfax, VA 22033-2945
Phone (703) 263-9388
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 |
|---|---|---|---|
| 0401413129 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobbio Family Dental at Birchwood | Current | Accepting new patients | |
| S. Weldon Brown, DDS, LTD | General Practice | Past | Accepting new patients |
| GD VA PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Brambleton, VA
- NPI 1023741667
-
- General Practice Dentistry
- Vienna, VA
- NPI 1265652705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1164727889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42206 BUNKER WOODS PL",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201486434",
"telephone_number": "703-402-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 WILSON BLVD STE 103",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092402",
"telephone_number": "703-528-3336",
"fax_number": "703-524-2206"
}
],
"practiceLocations": [
{
"address_1": "3903 Fair Ridge Dr Ste 214",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220332945",
"country_code": "US",
"telephone_number": "703-263-9388",
"fax_number": "703-877-0776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOBBIO",
"first_name": "JENNIFER",
"middle_name": "CECIL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2023-03-07",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.