NPIMap

Organization Active NPI

Reston Pediatric Associates, LTD

  • Primary Care Clinic/Center
  • Sterling, VA
National Provider Identifier
1477692887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RESTON PEDIATRIC ASSOCIATES, LTD
Practice address
6 Pidgeon Hill Dr
Suite 170,180
Sterling, VA 20165-6146
Phone
(703) 450-8660
Fax
(703) 404-0275
NPI assigned
Feb 5, 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
Ruth A Mann, M.D.
Title
President
Phone
(703) 450-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6 Pidgeon Hill Dr
Suite 170,180
Sterling, VA 20165-6146

Mailing address

6 Pidgeon Hill Dr
Suite 170,180
Sterling, VA 20165-6146
Phone (703) 450-8660

National Provider Directory

National Provider Directory
Tax ID family
Reston Pediatric Associates LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 Pidgeon Hill Dr
Ste 170180
Sterling, VA 20165
Phone (703) 450-8660

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477692887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR",
            "address_2": "SUITE 170,180",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656146",
            "telephone_number": "703-450-8660",
            "fax_number": "703-404-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR",
            "address_2": "SUITE 170,180",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656146",
            "telephone_number": "703-450-8660",
            "fax_number": "703-404-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON PEDIATRIC ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-450-8660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, 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.