Active NPI
Northern Virginia Endodontic Associates, PLLC
- Endodontics
- Arlington, VA
National Provider Identifier
1639460504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401412778
- 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, 2011
- 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 A Cheron, DMD, MS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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 DirectoryLocations
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.
-
- Endodontics
- Arlington, VA
- NPI 1700089984
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
- Aaron Norris, ATC
- Tara Yolanda Norris, PA-C
- Northern Virgina Family Medical Center, Inc.
- Northern Virgina Home Care LLC
- Northern Virginia Emergency Physicians, LLP
- Northern Virginia Family Practice Associates
- Northern Virginia Internal Medicine and Pediatrics, P.C
- Northern Virginia MRI, Joint Venture
- Northern Virginia Neurologic Associates
- Northern Virginia Pain and Rehab Center, PC
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.