Organization Active NPI

Northern Virginia Podiatry Group, P.C.

  • Podiatrist
  • Leesburg, VA
National Provider Identifier
1376565234
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NORTHERN VIRGINIA PODIATRY GROUP, P.C.
Practice address
19440 Golf Vista PLZ
Suite 120
Leesburg, VA 20176-8263
Phone
(703) 858-7887
Fax
(703) 858-7453
NPI assigned
Jul 23, 2006
Organization subpart
Yes
Parent organization
LANSDOWNE FOOT AND ANKLE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Dr. Gary Kugler, D.P.M.
Title
President
Phone
(703) 885-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

19440 Golf Vista PLZ
Suite 120
Leesburg, VA 20176-8263

Mailing address

19440 Golf Vista PLZ
Suite 120
Leesburg, VA 20176-8263
Phone (703) 858-7887

Other names 1

  • Lansdowne Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory
Part of
Northern Virginia Podia

Locations

19450 Deerfield Ave
Ste 280
Leesburg, VA 20176
Phone (571) 510-3815

19440 Golf Vista Plz
Ste 120
Leesburg, VA 20176
Phone (703) 858-7887

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1376565234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLZ",
            "address_2": "SUITE 120",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768263",
            "telephone_number": "703-858-7887",
            "fax_number": "703-858-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLZ",
            "address_2": "SUITE 120",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768263",
            "telephone_number": "703-858-7887",
            "fax_number": "703-858-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA PODIATRY GROUP, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANSDOWNE FOOT AND ANKLE CENTER",
        "enumeration_date": "2006-07-23",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "KUGLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-885-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansdowne Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lansdowne Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.