NPIMap

Organization Active NPI

George Kevorkian Jr DDS PC

  • Oral and Maxillofacial Pathology Dentistry
  • Vinton, VA
National Provider Identifier
1235333519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
0401006656 Issued in VA
Legal business name
GEORGE KEVORKIAN JR DDS PC
Practice address
895 E Washington Ave
Vinton, VA 24179-2105
Phone
(540) 344-7252
Fax
(540) 345-1891
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Kevorkian Jr., DDSNPI 1033135926
Title
Owner
Phone
(540) 344-7252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 0401006656 VA Primary

Addresses

Primary practice location

895 E Washington Ave
Vinton, VA 24179-2105

Mailing address

895 E Washington Ave
Vinton, VA 24179-2105
Phone (540) 344-7252

National Provider Directory

National Provider Directory

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235333519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 E WASHINGTON AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792105",
            "telephone_number": "540-344-7252",
            "fax_number": "540-345-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 E WASHINGTON AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792105",
            "telephone_number": "540-344-7252",
            "fax_number": "540-345-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KEVORKIAN JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEVORKIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-344-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "VA",
            "license": "0401006656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.