NPIMap

Organization Active NPI

Fairfax Radiological Consultants PC

Doing business as Breast Center of Fairfax

  • Radiology Clinic/Center
  • Fairfax, VA
National Provider Identifier
1699328500
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Doing business as
Breast Center of Fairfax
Practice address
8260 Willow Oaks Corporate Dr Ste 200
Fairfax, VA 22031-4515
Phone
(703) 698-4488
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Kim Masters
Title
Cco
Phone
(703) 698-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 200
Fairfax, VA 22031-4515

Mailing address

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4416
Phone (703) 698-4444

Other names 1

  • Breast Center of Fairfax Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kenneth Rieth MD23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

8260 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (571) 423-4900

8260 Willow Oaks Corporate Dr
Ste 200
Fairfax, VA 22031
Phone 703698444414708

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1699328500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314416",
            "telephone_number": "703-698-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314515",
            "telephone_number": "703-698-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "703-698-4444"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Center of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.