Individual provider Active NPI

Mignonette Esther Lobo, DMD

  • Dentist
  • Falls Church, VA
National Provider Identifier
1184747958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410656 Issued in VA
Practice address
6319 Castle PL Ste 1a
Falls Church, VA 22044-1907
Phone
(703) 536-4900
Fax
(703) 532-4988
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410656 VA Primary

Addresses

Primary practice location

6319 Castle PL Ste 1a
Falls Church, VA 22044-1907

Mailing address

6319 Castle Place Suite 1 a
Falls Church, VA 22044-1907
Phone (703) 536-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514000616 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9335469311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401410656VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mignonette Lobo Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184747958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PLACE SUITE 1 A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-536-4900",
            "fax_number": "703-532-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL STE 1A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-536-4900",
            "fax_number": "703-532-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBO",
        "first_name": "MIGNONETTE",
        "middle_name": "ESTHER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.