Jason Todd Lipscomb, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410585 Issued in VA

Practice address

200 Executive Center Pkwy
Suite #104
Fredericksburg, VA 22401-3177

Phone

(540) 373-1641

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Brush Up Dental PC

  • Preferred Provider Organization
  • Richmond, VA
  • NPI 1366818841
  NPD Authorized official
• Brush Up Dental PC

  • Dental Clinic/Center
  • Chesterfield, VA
  • NPI 1871148775
  NPD Authorized official
• Jason T Lipscomb DDS P C

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1891986857
  NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1437238599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EXECUTIVE CENTER PKWY",
            "address_2": "SUITE 104",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013177",
            "telephone_number": "540-373-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EXECUTIVE CENTER PKWY",
            "address_2": "SUITE #104",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013177",
            "telephone_number": "540-373-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "JASON",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Dylan Kelsey Lindauer, MD
• Craig Fredrick Lindsay
• Lauren Linkenauger, PHARMD
• Lion Dental PLLC
• Lisa Fleming, LPC, LLC
• Lisa King MD LLC
• Lisa Mele& Associates
• Mary Little
• Stephanie Wei Liu, FNP

• General Practice Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.