Organization Active NPI

Capital Men's Health 1

  • General Practice Physician
  • Reston, VA
National Provider Identifier
1679418099
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CAPITAL MEN'S HEALTH 1
Practice address
12005 Sunrise Valley Dr Ste 203
Reston, VA 20191-3469
Phone
(817) 798-9116
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Glenn K Ashcraft
Title
Ceo
Phone
(817) 798-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

12005 Sunrise Valley Dr Ste 203
Reston, VA 20191-3469

Mailing address

12005 Sunrise Valley Dr Ste 203
Reston, VA 20191-3469
Phone (817) 798-9116

National Provider Directory

National Provider Directory

Locations

12005 Sunrise Valley Dr
Ste 203
Reston, VA 20191
Phone (571) 250-8972

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1679418099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 SUNRISE VALLEY DR STE 203",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913469",
            "telephone_number": "817-798-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 SUNRISE VALLEY DR STE 203",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913469",
            "telephone_number": "817-798-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEN'S HEALTH 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "ASHCRAFT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-798-9116"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.