Dominion Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOMINION MEDICAL EQUIPMENT

Practice address

14100 Parke Long CT
Suite C
Chantilly, VA 20151-1644

Phone

(703) 263-1325

Fax

(703) 263-1805

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Renee Moffett

Title

Account Manager

Phone

(703) 263-1325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1306177811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 PARKE LONG CT",
            "address_2": "SUITE C",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511644",
            "telephone_number": "703-263-1325",
            "fax_number": "703-263-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PARKE LONG CT",
            "address_2": "SUITE C",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511644",
            "telephone_number": "703-263-1325",
            "fax_number": "703-263-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "703-263-1325"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tien So DO
• Charmaine Renee Dockett, LPC
• Jayne Dodson, BCBA
• Augustine A Dolcich, MD
• Danae Marinelly Dominguez Alvarez, MASSAGE THERAPIST
• Doram Medical Transportation Services,Inc
• Rachel Eileen Dorsa, LPC
• Emma Dozier
• Dr. Tarek Ashmawy DDS
• Sally Draper, RN

• Durable Medical Equipment & Medical Supplies in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.