NPIMap

Organization Active NPI

Reston Pediatrics Associates,LTD

  • Primary Care Clinic/Center
  • Reston, VA
National Provider Identifier
1497894893
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 PEDIATRICS ASSOCIATES,LTD
Practice address
11130 Sunrise Valley Dr
Suite 150
Reston, VA 20191-4398
Phone
(703) 262-0100
Fax
(703) 262-0333
NPI assigned
Feb 5, 2007
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.NPI 1073674594
Title
President
Phone
(703) 262-0100

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 1

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

Addresses

Primary practice location

11130 Sunrise Valley Dr
Suite 150
Reston, VA 20191-4398

Mailing address

11130 Sunrise Valley Dr
Suite 150
Reston, VA 20191-4398
Phone (703) 262-0100

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

11130 Sunrise Valley Dr
Ste 150
Reston, VA 20191
Phone (703) 262-0100

Practitioners & affiliated clinicians

Practitioners 5

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497894893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 SUNRISE VALLEY DR",
            "address_2": "SUITE 150",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914398",
            "telephone_number": "703-262-0100",
            "fax_number": "703-262-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 SUNRISE VALLEY DR",
            "address_2": "SUITE 150",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914398",
            "telephone_number": "703-262-0100",
            "fax_number": "703-262-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON PEDIATRICS 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": "703-262-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, 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.