Individual provider Active NPI

John Christopher Durr Jr., D.D.S, J.D

  • General Practice Dentistry
  • Annandale, VA
National Provider Identifier
1356580708
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0000VA5391 Issued in VA
Practice address
4216 Evergreen LN
Ste #113
Annandale, VA 22003-3243
Phone
(703) 941-7020
NPI assigned
Feb 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0000VA5391 VA Primary

Addresses

Primary practice location

4216 Evergreen LN
Ste #113
Annandale, VA 22003-3243

Mailing address

4216 Evergreen LN
Suite 113
Annandale, VA 22003-3243
Phone (703) 941-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
0000VA5391VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Skinner Ossakow & Associates Past Accepting new patients
Yen V, Le, D.D.S., P.C. General Practice Past Accepting new patients
J Christopher Durr LLC Past Accepting new patients

Organizations & group practices 3

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1356580708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN",
            "address_2": "SUITE 113",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033243",
            "telephone_number": "703-941-7020",
            "fax_number": "703-941-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN",
            "address_2": "STE #113",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033243",
            "telephone_number": "703-941-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURR",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S, J.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0000VA5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.