Active NPI
Peter Lewis Dorf, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Ft Belvoir, VA
National Provider Identifier
1174178263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401416731
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019032231 | IL | MD | Dentist |
| 0401416731 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 01903321 | IL | MD | Military 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.