Individual provider Active NPI

Aleksandr Baron, DDS

  • Endodontics
  • Fort Liberty, NC
National Provider Identifier
1407182207
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401417784 Issued in VA
Practice address
2817 Rock Merritt Ave Womack Medical Center
Fort Liberty, NC 28310-5080
Phone
(910) 907-8707
NPI assigned
Oct 29, 2009
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401417784 VA Primary

Addresses

Primary practice location

2817 Rock Merritt Ave Womack Medical Center
Fort Liberty, NC 28310-5080

Mailing address

3712 Old Forest Rd Ste 100
Lynchburg, VA 24501-6963
Phone (434) 385-0273

Other practice location 1

3712 Old Forest Rd Ste 100
Lynchburg, VA 24501-6963
Phone (732) 740-6472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114002388 VA Practitioner - Dentist 8123496619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401417784VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Oct 1, 2022 Accepting new patients
Marbri Enterprises General Practice Current Accepting new patients
Lynchburg Endodontics P.C. Endodontics CurrentSince Apr 3, 2022 Accepting new patients
Jenna Park DMD PLC General Practice PastSince Jul 22, 2025 Accepting new patients
James L. Stanley, D.D.S., P.C. Endodontics PastSince Apr 3, 2022 Accepting new patients

Locations

1222 Jefferson Park Ave
Fl 2
Charlottesville, VA 22903
Phone (434) 924-1774

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

3712 Old Forest Rd
Ste 100
Lynchburg, VA 24501
Phone (434) 385-0273

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1407182207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 OLD FOREST RD STE 100",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016963",
            "telephone_number": "434-385-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK MEDICAL CENTER",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283105080",
            "telephone_number": "910-907-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3712 Old Forest Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245016963",
            "country_code": "US",
            "telephone_number": "732-740-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARON",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401417784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

Verify at the official NPI Registry.