Individual provider Active NPI

Theresa P Ton, DDS

  • Dentist
  • Chantilly, VA
National Provider Identifier
1205964905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007144 Issued in VA
Practice address
4080 Lafayette Center Dr
Suite 140
Chantilly, VA 20151-1247
Phone
(703) 449-8572
Fax
(703) 449-8572
NPI assigned
Mar 2, 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 0401007144 VA Primary

Addresses

Primary practice location

4080 Lafayette Center Dr
Suite 140
Chantilly, VA 20151-1247

Mailing address

4080 Lafayette Center Dr
Suite 140
Chantilly, VA 20151-1247
Phone (703) 449-8572

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

LicenseStateTypeSpecialty
0401007144VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205964905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "address_2": "SUITE 140",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511247",
            "telephone_number": "703-449-8572",
            "fax_number": "703-449-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "address_2": "SUITE 140",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511247",
            "telephone_number": "703-449-8572",
            "fax_number": "703-449-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "THERESA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.