NPIMap

Organization Active NPI

Frank a Delatour DDS PC

  • Dentist
  • Fairfax, VA
National Provider Identifier
1205021748
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005612 Issued in VA
Legal business name
FRANK A DELATOUR DDS PC
Practice address
10090 Main Street
Fairfax, VA 22031-3486
Phone
(703) 273-8224
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Frank A Delatour, DONPI 1568099448
Title
President
Phone
(703) 273-8224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401005612 VA Primary

Addresses

Primary practice location

10090 Main Street
Fairfax, VA 22031-3486

Mailing address

10090 Main Street
Fairfax, VA 22031-3486
Phone (703) 273-8224

National Provider Directory

National Provider Directory

Locations

10090 Main St
Fairfax, VA 22031
Phone (703) 273-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1205021748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MAIN STREET",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313486",
            "telephone_number": "703-273-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MAIN STREET",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313486",
            "telephone_number": "703-273-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK A DELATOUR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "DELATOUR",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-273-8224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.