Organization Active NPI

Ricardo M. Bennett DPM

  • Podiatrist
  • Arlington, VA
National Provider Identifier
1285709436
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RICARDO M. BENNETT DPM
Practice address
5275 Lee Hwy
Suite 303
Arlington, VA 22207-1619
Phone
(703) 538-5111
Fax
(703) 538-4193
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ricardo Bennett, D.P.M.
Title
Doctor
Phone
(703) 538-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X VA Primary

Addresses

Primary practice location

5275 Lee Hwy
Suite 303
Arlington, VA 22207-1619

Mailing address

5275 Lee Hwy
Suite 303
Arlington, VA 22207-1619
Phone (703) 538-5111

Other identifiers 1

IdentifierTypeStateIssuer
271860OtherVAANTHEM-VA

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285709436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 LEE HWY",
            "address_2": "SUITE 303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071619",
            "telephone_number": "703-538-5111",
            "fax_number": "703-538-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 LEE HWY",
            "address_2": "SUITE 303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071619",
            "telephone_number": "703-538-5111",
            "fax_number": "703-538-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO M. BENNETT DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-538-5111",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-VA",
            "identifier": "271860",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.