Organization Active NPI

Lanctot and Johnson Dental Associates PC

  • Dental Clinic/Center
  • Reston, VA
National Provider Identifier
1356783583
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401006144 Issued in VA
Legal business name
LANCTOT AND JOHNSON DENTAL ASSOCIATES PC
Practice address
11359 Sunset Hills Rd
Suite a
Reston, VA 20190-5275
Phone
(703) 437-6666
Fax
(703) 435-8281
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Horace Philip Johnson III, DDS
Title
President
Phone
(703) 437-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401006144 VA Primary

Addresses

Primary practice location

11359 Sunset Hills Rd
Suite a
Reston, VA 20190-5275

Mailing address

11359 Sunset Hills Drive
Suite a
Rerston, VA 20190
Phone (703) 437-6666

National Provider Directory

National Provider Directory

Locations

11359 Sunset Hills Rd
Ste A
Reston, VA 20190
Phone (703) 437-6666

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1356783583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11359 SUNSET HILLS DRIVE",
            "address_2": "SUITE A",
            "city": "RERSTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-437-6666",
            "fax_number": "703-435-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11359 SUNSET HILLS RD",
            "address_2": "SUITE A",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905275",
            "telephone_number": "703-437-6666",
            "fax_number": "703-435-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCTOT AND JOHNSON DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-437-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401006144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.