Individual provider Active NPI

Peter Lewis Dorf, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Ft Belvoir, VA
National Provider Identifier
1174178263
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401416731 Issued in VA
Practice address
9225 Doerr Rd
Ft Belvoir, VA 22060-2204
Phone
(922) 512-2022
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019032231 IL
Military Health Care Provider 171000000X 01903321 IL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401416731 VA Primary

Addresses

Primary practice location

9225 Doerr Rd
Ft Belvoir, VA 22060-2204

Mailing address

9225 Doerr Rd Ste 1220
Ft Belvoir, VA 22060-2204
Phone (571) 231-6004

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address peter.l.dorf.mil@mail.mil
Direct Messaging Address peter.l.dorf.mil@mail.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 Station Place Way
Hurricane, WV 25526-8747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019032231ILMDDentist
0401416731VAMDOral and Maxillofacial Surgery (Dentist)
01903321ILMDMilitary Health Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1174178263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD STE 1220",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "922-512-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORF",
        "first_name": "PETER",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032231",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IL",
            "license": "01903321",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.l.dorf.mil@mail.mil",
            "affiliation": "N",
            "address_1": "U.S. Army Dental Health Activity",
            "address_2": "8476 Simonds Street, STE 5700",
            "city": "Ft. Belvoir",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.l.dorf.mil@mail.mil",
            "affiliation": "N",
            "address_1": "9225 Doerr Rd # 1220",
            "city": "Ft Belvoir",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220602204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ft Belvoir, VA

Sources for this page

Verify at the official NPI Registry.