Active NPI
Robert a McDonald Sr DDB PC
- Dental Clinic/Center
- Alexandria, VA
National Provider Identifier
1629180138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 0401002256
- Legal business name
- ROBERT A MCDONALD SR DDB PC
- Practice address
- 50 South Pickett St
Suite 104
Alexandria, VA 22304 - Phone
- (703) 751-5222
- Fax
- (703) 751-5210
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Angus McDonald Sr., DDS
- Title
- Owner of PC
- Phone
- (703) 751-5222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 0401002256 | VA | Primary |
Addresses
Primary practice location
50 South Pickett St
Suite 104
Alexandria, VA 22304
Mailing address
50 South Pickett St
Suite 104
Alexandria, VA 22304
Phone (703) 751-5222
National Provider Directory
National Provider DirectoryLocations
50 S Pickett St
Ste 104
Alexandria, VA 22304
Phone (703) 751-5222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Alexandria, VA
- NPI 1033229539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629180138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SOUTH PICKETT ST",
"address_2": "SUITE 104",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22304",
"telephone_number": "703-751-5222",
"fax_number": "703-751-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SOUTH PICKETT ST",
"address_2": "SUITE 104",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22304",
"telephone_number": "703-751-5222",
"fax_number": "703-751-5210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A MCDONALD SR DDB PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ANGUS",
"authorized_official_title_or_position": "OWNER OF PC",
"authorized_official_telephone_number": "703-751-5222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "0401002256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, 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.