Organization Active NPI

Rouben a Yedigarian

  • Dental Clinic/Center
  • McLean, VA
National Provider Identifier
1285813857
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401005564 Issued in VA
Legal business name
ROUBEN A YEDIGARIAN
Practice address
8371B Greensboro Dr
MC Lean, VA 22102-3529
Phone
(703) 821-0882
Fax
(703) 821-2187
NPI assigned
Oct 30, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Rouben A Yedigarian, D.D.S.NPI 1912110347
Title
D.D.S.
Phone
(703) 821-0882

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
Dental Clinic/Center 261QD0000X 0401005564 VA Primary
Dentist 122300000X 401005564 VA

Addresses

Primary practice location

8371B Greensboro Dr
MC Lean, VA 22102-3529

Mailing address

8371B Greensboro Dr
MC Lean, VA 22102-3529
Phone (703) 821-0882

National Provider Directory

National Provider Directory

Locations

8371B Greensboro Dr
McLean, VA 22102
Phone (703) 821-0882

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1285813857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371B GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023529",
            "telephone_number": "703-821-0882",
            "fax_number": "710-821-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371B GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023529",
            "telephone_number": "703-821-0882",
            "fax_number": "703-821-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUBEN A YEDIGARIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "YEDIGARIAN",
        "authorized_official_first_name": "ROUBEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "703-821-0882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401005564",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "401005564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

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