Active NPI
Christopher James Luevano, D.D.S.
- Pediatric Dentistry
- Fort Belvoir, VA
National Provider Identifier
1386923464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60423
- Practice address
- 9225 Doerr Rd
Fort Belvoir, VA 22060-2204 - Phone
- (571) 231-6004
- NPI assigned
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415060 | VA | |
| Dentist | 122300000X | 60423 | CA | |
| Pediatric Dentistry | 1223P0221X | 0401415060 | VA | |
| Pediatric Dentistry | 1223P0221X | 60423 | CA | Primary |
Addresses
Primary practice location
9225 Doerr Rd
Fort Belvoir, VA 22060-2204
Mailing address
9225 Doerr Rd
Fort Belvoir, VA 22060-2204
Phone (571) 231-6004
Other practice location 1
4650 Taylor Rd. BLDG 17 Rm 3019
Bethesda, MD 20889
Phone (301) 319-8923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60423 | CA | MD | Pediatric Dentist |
| 0401415060 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1386923464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 DOERR RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220602204",
"telephone_number": "571-231-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 DOERR RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220602204",
"telephone_number": "571-231-6004"
}
],
"practiceLocations": [
{
"address_1": "4650 Taylor Rd. BLDG 17 Rm 3019",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "20889",
"country_code": "US",
"telephone_number": "301-319-8923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUEVANO",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415060",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60423",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401415060",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "60423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.