Organization Active NPI

Virginia Sports Medicine Doctors

  • Sports Medicine (Family Medicine) Physician
  • Fairfax, VA
National Provider Identifier
1467060236
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
VIRGINIA SPORTS MEDICINE DOCTORS
Practice address
3998 Fair Ridge Dr Ste 125
Fairfax, VA 22033-2908
Phone
(703) 646-1270
NPI assigned
Jul 17, 2020
Last updated
Jul 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Stephanie Singh, DONPI 1194111641
Title
Owner
Phone
(703) 646-1270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

3998 Fair Ridge Dr Ste 125
Fairfax, VA 22033-2908

Mailing address

3998 Fair Ridge Dr Ste 125
Fairfax, VA 22033-2908
Phone (703) 646-1270

National Provider Directory

National Provider Directory

Locations

3998 Fair Ridge Dr
Ste 125
Fairfax, VA 22033
Phone (703) 646-1270

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1467060236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 125",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332908",
            "telephone_number": "703-646-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 125",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332908",
            "telephone_number": "703-646-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SPORTS MEDICINE DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-646-1270",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 17, 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.