Organization Active NPI

Northern Virginia Endodontic Associates, PLLC

  • Endodontics
  • Arlington, VA
National Provider Identifier
1639460504
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401412778 Issued in VA
Legal business name
NORTHERN VIRGINIA ENDODONTIC ASSOCIATES, PLLC
Practice address
3833 Fairfax Dr
Suite 440
Arlington, VA 22203-1772
Phone
(267) 252-0125
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Robert A Cheron, DMD, MSNPI 1700089984
Title
Managing Member
Phone
(267) 252-0125

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 0401412778 VA Primary

Addresses

Primary practice location

3833 Fairfax Dr
Suite 440
Arlington, VA 22203-1772

Mailing address

1105 Russell Rd
Alexandria, VA 22301-2436
Phone (267) 252-0125

National Provider Directory

National Provider Directory

Locations

3833 Fairfax Dr
Ste 440
Arlington, VA 22203
Phone (267) 252-0125

Practitioners & affiliated clinicians

Practitioners 1

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1639460504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 RUSSELL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012436",
            "telephone_number": "267-252-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 FAIRFAX DR",
            "address_2": "SUITE 440",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031772",
            "telephone_number": "267-252-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA ENDODONTIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "CHERON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "267-252-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401412778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.