John A Cusumano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416545 Issued in VA

Practice address

4350 N Fairfax Dr #135
4350 N Fairfax Dr Suite 135
Arlington, VA 22203-1695

Phone

(703) 525-4071

Fax

(703) 525-0868

NPI assigned

Jun 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1508426545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 N FAIRFAX DR #135",
            "address_2": "4350 N FAIRFAX DR SUITE 135",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031695",
            "telephone_number": "703-525-4071",
            "fax_number": "703-525-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 N FAIRFAX DR #135",
            "address_2": "4350 N FAIRFAX DR SUITE 135",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031695",
            "telephone_number": "703-525-4071",
            "fax_number": "703-525-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DEPARTMENT OF LICENSING",
            "identifier": "0401416545",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drcusumano@cusumanoandstuver.com",
            "affiliation": "N",
            "endpointDescription": "Admin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4350 N Fairfax Dr #135",
            "address_2": "4350 N Fairfax Dr Suite 135",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222031695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela C Curry
• Davon M Curtis, PST
• Wilbert A Cusano, D.O
• Miriam Jacqueline Nicolasa Cusicanqui Monrroy, MD
• Janine Michaela Cusseaux
• Joseph J Cusumano, D.D.S.
• Michael Joseph Cusumano, DDS
• Amy Russell Cvejanovich, MSN, APRN, FNP-C
• Cyber Timez, Inc.
• Eric Walter Czander, MD

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.