NPIMap

Organization Active NPI

Ruby Ann E Bisson, DMD, PC

  • Preferred Provider Organization
  • Manassas, VA
National Provider Identifier
1487821427
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0401008955 Issued in VA
Legal business name
RUBY ANN E BISSON, DMD, PC
Practice address
10670 Crestwood Dr Ste B
Manassas, VA 20109-4408
Phone
(703) 361-0555
Fax
(703) 361-6255
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Murrie Lufsey
Title
Office Manager
Phone
(703) 361-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0401008955 VA Primary

Addresses

Primary practice location

10670 Crestwood Dr Ste B
Manassas, VA 20109-4408

Mailing address

10670 Crestwood Dr Ste B
Manassas, VA 20109-4408
Phone (703) 361-0555

National Provider Directory

National Provider Directory

Locations

10670 Crestwood Dr
Ste B
Manassas, VA 20109
Phone (703) 361-0555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1487821427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 CRESTWOOD DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094408",
            "telephone_number": "703-361-0555",
            "fax_number": "703-361-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 CRESTWOOD DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094408",
            "telephone_number": "703-361-0555",
            "fax_number": "703-361-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY ANN E BISSON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "LUFSEY",
        "authorized_official_first_name": "MURRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-361-0555"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401008955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.