Active NPI
Eric S. Havens P L L C
- Family Medicine Physician
- Reston, VA
National Provider Identifier
1366729675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ERIC S. HAVENS P L L C
- Practice address
- 1850 Town Center Pkwy Ste 207
Reston, VA 20190-3219 - Phone
- (703) 478-9390
- NPI assigned
- Nov 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric S Havens, D.O.
- Title
- Owner
- Phone
- (703) 834-7584
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy Ste 207
Reston, VA 20190-3219
Mailing address
1850 Town Center Pkwy Ste 207
Reston, VA 20190-3219
Phone (703) 478-9390
Other names 1
- Family Health Center
National Provider Directory
National Provider DirectoryLocations
1850 Town Center Pkwy
Ste 207
Reston, VA 20190
Phone (703) 478-9390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Reston, VA
- NPI 1396961025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321315200000",
"number": "1366729675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 207",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-478-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 207",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-478-9390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC S. HAVENS P L L C",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A",
"authorized_official_last_name": "HAVENS",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-834-7584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.