NPIMap

Organization Active NPI

Bluhm, Dorsch and Vandervort, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Ashburn, VA
National Provider Identifier
1265578413
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BLUHM, DORSCH AND VANDERVORT, PC
Practice address
44340 Premier PLZ
Suite 100
Ashburn, VA 20147-5025
Phone
(703) 729-8700
Fax
(703) 729-5300
NPI assigned
Jan 29, 2007
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dr. Andrew Edward Bluhm, D.D.SNPI 1881757441
Title
President
Phone
(703) 729-8700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary
Specialist 174400000X 0401007764 VA

Addresses

Primary practice location

44340 Premier PLZ
Suite 100
Ashburn, VA 20147-5025

Mailing address

44340 Premier PLZ
Suite 100
Ashburn, VA 20147-5073
Phone (703) 729-8700

Other practice location 1

25055 Riding Plz Ste 120
South Riding, VA 20152-5918
Phone (703) 729-8700

Other practice location 2

821 S King St Ste F
Leesburg, VA 20175-3914
Phone (703) 771-1771

Other identifiers 4

IdentifierTypeStateIssuer
067698OtherVABCBS
450039OtherVABCBS
066607OtherVABCBS
450038OtherVABCBS

National Provider Directory

National Provider Directory

Locations

44340 Premier Plz
Ste 100
Ashburn, VA 20147
Phone (703) 729-8700

821 S King St
Ste F
Leesburg, VA 20175
Phone (703) 771-1771

25055 Riding Plz
Ste 120
South Riding, VA 20152
Phone (703) 729-8700

Practitioners & affiliated clinicians

Practitioners 7

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1265578413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ",
            "address_2": "SUITE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475073",
            "telephone_number": "703-729-8700",
            "fax_number": "703-729-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ",
            "address_2": "SUITE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475025",
            "telephone_number": "703-729-8700",
            "fax_number": "703-729-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25055 Riding Plz Ste 120",
            "address_purpose": "LOCATION",
            "city": "South Riding",
            "state": "VA",
            "postal_code": "201525918",
            "country_code": "US",
            "telephone_number": "703-729-8700",
            "fax_number": "703-729-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 S King St Ste F",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201753914",
            "country_code": "US",
            "telephone_number": "703-771-1771",
            "fax_number": "703-771-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUHM, DORSCH AND VANDERVORT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BLUHM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-729-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0401007764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "067698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "450039",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "066607",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "450038",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.