Active NPI
Jon Allan Aronson, D.D.S.
- Public Health Dentistry
- Nellysford, VA
National Provider Identifier
1538190814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 411387
- Practice address
- 1178 Black Walnut Dr
Nellysford, VA 22958-8044 - Phone
- (434) 361-2602
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3093 | LA | |
| Dentist | 122300000X | 411387 | VA | |
| Public Health Dentistry | 1223D0001X | 411387 | VA | Primary |
Addresses
Primary practice location
1178 Black Walnut Dr
Nellysford, VA 22958-8044
Mailing address
1178 Black Walnut Dr
Nellysford, VA 22958-8044
Phone (434) 361-2602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 411387 | VA | MD | Dentist |
| 3093 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1538190814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 BLACK WALNUT DR",
"city": "NELLYSFORD",
"state": "VA",
"postal_code": "229588044",
"telephone_number": "434-361-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 BLACK WALNUT DR",
"city": "NELLYSFORD",
"state": "VA",
"postal_code": "229588044",
"telephone_number": "434-361-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARONSON",
"first_name": "JON",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "3093",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "411387",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "VA",
"license": "411387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nellysford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.