Organization Active NPI

Virginia Regional Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Leesburg, VA
National Provider Identifier
1699166413
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
13440 Issued in MD
Legal business name
VIRGINIA REGIONAL ORAL SURGERY ASSOCIATES
Practice address
17256 Cannonade Dr
Leesburg, VA 20176-7192
Phone
(240) 485-7538
NPI assigned
Feb 16, 2015
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Brian Byung Chang, DMD
Title
President
Phone
(240) 485-7538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 13440 MD Primary

Addresses

Primary practice location

17256 Cannonade Dr
Leesburg, VA 20176-7192

Mailing address

17256 Cannonade Dr
Leesburg, VA 20176-7192
Phone (240) 485-7538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1699166413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17256 CANNONADE DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201767192",
            "telephone_number": "240-485-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17256 CANNONADE DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201767192",
            "telephone_number": "240-485-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA REGIONAL ORAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-485-7538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.