Active NPI
Edward J. Plekavich, D.D.S., M.S.
- Prosthodontics
- Sterling, VA
National Provider Identifier
1649698804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401007299
- Practice address
- 107 E Holly Ave
Suite 2
Sterling, VA 20164-5405 - Phone
- (703) 450-4010
- NPI assigned
- Apr 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 0401007299 | VA | Primary |
Addresses
Primary practice location
107 E Holly Ave
Suite 2
Sterling, VA 20164-5405
Mailing address
107 E Holly Ave
Suite 2
Sterling, VA 20164-5405
Phone (703) 450-4010
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007299 | VA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1649698804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E HOLLY AVE",
"address_2": "SUITE 2",
"city": "STERLING",
"state": "VA",
"postal_code": "201645405",
"telephone_number": "703-450-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E HOLLY AVE",
"address_2": "SUITE 2",
"city": "STERLING",
"state": "VA",
"postal_code": "201645405",
"telephone_number": "703-450-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEKAVICH",
"first_name": "EDWARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0401007299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.