Organization Active NPI

Truro Church

  • Voluntary or Charitable Agency
  • Fairfax, VA
National Provider Identifier
1437291846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
0701001459 Issued in VA
Legal business name
TRURO CHURCH
Practice address
10520 Main St
Fairfax, VA 22030-3304
Phone
(703) 273-1300
NPI assigned
Feb 13, 2007
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
Dr. Tim Teague
Title
Director
Phone
(703) 273-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 0701001459 VA Primary

Addresses

Primary practice location

10520 Main St
Fairfax, VA 22030-3304

Mailing address

10520 Main St
Fairfax, VA 22030-3304

Other identifiers 1

IdentifierTypeStateIssuer
0701001459OtherVAPROFESSIONAL COUNSELOR

National Provider Directory

National Provider Directory

Locations

10520 Main St
Fairfax, VA 22030
Phone (703) 246-4461

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437291846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303304",
            "telephone_number": "703-273-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRURO CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-273-1300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "VA",
            "license": "0701001459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "0701001459",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, 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.