Jan J. Dekker, M.D., L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101039002 Issued in VA

Legal business name

JAN J. DEKKER, M.D., L.L.C.

Practice address

8316 Arlington Blvd
Suite 410
Fairfax, VA 22031-5207

Phone

(703) 573-6985

Fax

(703) 573-7154

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan Jacob Dekker, M.D., PH.D.

Title

Chairman

Phone

(703) 573-6985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia D Hartley, PA-C

  • Physician Assistant
  • Denver, CO
  • NPI 1619112406
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1699964387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 WYNNWOOD DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033430",
            "telephone_number": "703-573-6985",
            "fax_number": "703-573-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-6985",
            "fax_number": "703-573-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN J. DEKKER, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "DEKKER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "703-573-6985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101039002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jere James, M.D.
• Shelly-Ann James, MD
• J Lawrence Jamieson, PH.D.
• Traci Denise Jamison
• Dezireh Jamshidarsani, LCSW
• Veronica Maureen Janer, LCSW
• Jaewoong Jang, DMD
• Sekwon Jang, M.D.
• Abigail Janicki
• Robert Douglas Janke, M.D.

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.