Individual provider Active NPI

Jeffrey Robert Thorpe, D.D.S.

  • Endodontics
  • Manassas, VA
National Provider Identifier
1275627333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401007057 Issued in VA
Practice address
10682 Crestwood Dr Ste C
Manassas, VA 20109-4401
Phone
(703) 368-8120
Fax
(703) 361-5053
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

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
Endodontics 1223E0200X 0401007057 VA Primary

Addresses

Primary practice location

10682 Crestwood Dr Ste C
Manassas, VA 20109-4401

Mailing address

10682 Crestwood Dr Ste C
Manassas, VA 20109-4401
Phone (703) 368-8120

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
I20150714000721 VA Order and Referring Only - DentistPractitioner - Dentist 3870806359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007057VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Dollard, Piccinino & Thorpe, P.C. Endodontics 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275627333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10682 CRESTWOOD DR STE C",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094401",
            "telephone_number": "703-368-8120",
            "fax_number": "703-361-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10682 CRESTWOOD DR STE C",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094401",
            "telephone_number": "703-368-8120",
            "fax_number": "703-361-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.