Organization Active NPI

Congressional Plastic Surgery, Inc.

  • Plastic Surgery Physician
  • Fairfax, VA
National Provider Identifier
1376068577
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101257925 Issued in VA
Legal business name
CONGRESSIONAL PLASTIC SURGERY, INC.
Practice address
8501 Arlington Blvd Ste 310
Fairfax, VA 22031-4625
Phone
(703) 945-1700
NPI assigned
Aug 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Christopher Chang, MD
Title
Owner
Phone
(703) 945-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0101257925 VA Primary

Addresses

Primary practice location

8501 Arlington Blvd Ste 310
Fairfax, VA 22031-4625

Mailing address

6101 Cromwell Dr
Bethesda, MD 20816-3411
Phone (703) 945-1700

Other practice location 1

5530 Wisconsin Ave
Chevy Chase, MD 20815-4404
Phone (703) 945-1700

National Provider Directory

National Provider Directory

Locations

8501 Arlington Blvd
Ste 310
Fairfax, VA 22031
Phone (703) 645-0077

8100 Boone Blvd
Ste 720
Vienna, VA 22182
Phone (703) 454-5544

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1376068577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 CROMWELL DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208163411",
            "telephone_number": "703-945-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314625",
            "telephone_number": "703-945-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154404",
            "country_code": "US",
            "telephone_number": "703-945-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONGRESSIONAL PLASTIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-945-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101257925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.