Organization Active NPI

Vartan Mardirossian MD PLC

  • Facial Plastic Surgery Physician
  • MC Lean, VA
National Provider Identifier
1316375447
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
VARTAN MARDIROSSIAN MD PLC
Practice address
1401 Chain Bridge Rd Ste 201
MC Lean, VA 22101-3883
Phone
(703) 260-8291
Fax
(703) 691-5002
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Vartan Mardirossian, MD FACS
Title
Owner
Phone
(703) 260-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

1401 Chain Bridge Rd Ste 201
MC Lean, VA 22101-3883

Mailing address

1401 Chain Bridge Rd Ste 201
MC Lean, VA 22101-3883
Phone (703) 260-8291

Other names 1

  • Mardirossian Facial Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Chain Bridge Rd
Ste 201
Mc Lean, VA 22101
Phone (703) 260-8291

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1316375447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHAIN BRIDGE RD STE 201",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013883",
            "telephone_number": "703-260-8291",
            "fax_number": "703-691-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHAIN BRIDGE RD STE 201",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013883",
            "telephone_number": "703-260-8291",
            "fax_number": "703-691-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARTAN MARDIROSSIAN MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MARDIROSSIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-260-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mardirossian Facial Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.