Organization Active NPI

Northern Virginia Center for Facial Plastic Surgery PC

  • Facial Plastic Surgery Physician
  • McLean, VA
National Provider Identifier
1386650059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
0101053960 Issued in VA
Legal business name
NORTHERN VIRGINIA CENTER FOR FACIAL PLASTIC SURGERY PC
Practice address
8180 Greensboro Dr
Suite #1015
McLean, VA 22102-3888
Phone
(703) 790-5700
Fax
(703) 827-8730
NPI assigned
Aug 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William LindseyNPI 1982688610
Title
Physician Owner
Phone
(703) 790-5709

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)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 0101053960 VA Primary

Addresses

Primary practice location

8180 Greensboro Dr
Suite #1015
McLean, VA 22102-3888

Mailing address

8180 Greensboro Dr
Suite #1015
McLean, VA 22102-3888
Phone (703) 790-5700

National Provider Directory

National Provider Directory

Locations

1800 Town Center Dr
Ste 320
Reston, VA 20190
Phone (703) 904-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386650059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "SUITE #1015",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-790-5700",
            "fax_number": "703-827-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "SUITE #1015",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-790-5700",
            "fax_number": "703-827-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA CENTER FOR FACIAL PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "703-790-5709"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101053960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.