NPIMap

Organization Active NPI

James M Bronson, DDS, PC

  • Dental Clinic/Center
  • MC Lean, VA
National Provider Identifier
1558370320
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401006161 Issued in VA
Legal business name
JAMES M BRONSON, DDS, PC
Practice address
6800 Fleetwood Rd Ste 100
MC Lean, VA 22101-3604
Phone
(703) 506-9805
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
James Merritt Bronson, D.D.S.NPI 1528077385
Title
President
Phone
(703) 506-9805

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
Dental Clinic/Center 261QD0000X 0401006161 VA Primary

Addresses

Primary practice location

6800 Fleetwood Rd Ste 100
MC Lean, VA 22101-3604

Mailing address

6800 Fleetwood Rd Ste 100
MC Lean, VA 22101-3604
Phone (703) 506-9805

National Provider Directory

National Provider Directory
Tax ID family
James M Bronson DDS PC2 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

6800 Fleetwood Rd
Ste 100
Mc Lean, VA 22101
Phone (703) 506-9805

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1558370320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 FLEETWOOD RD STE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013604",
            "telephone_number": "703-506-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 FLEETWOOD RD STE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013604",
            "telephone_number": "703-506-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M BRONSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-506-9805",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401006161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.