Individual provider Active NPI

Robert A Cheron, DMD

  • Endodontics
  • Arlington, VA
National Provider Identifier
1700089984
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401412778 Issued in VA
Practice address
3833 Fairfax Dr
Suite 440
Arlington, VA 22203-1772
Phone
(703) 528-8382
Fax
(703) 469-1708
NPI assigned
Jun 6, 2007
Last updated
Jun 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 54531 CA
Endodontics 1223E0200X 0401412778 VA Primary

Addresses

Primary practice location

3833 Fairfax Dr
Suite 440
Arlington, VA 22203-1772

Mailing address

1105 Russell Rd
Alexandria, VA 22301-2436
Phone (267) 252-0125

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

State licenses

LicenseStateTypeSpecialty
0401412778VAMDEndodontist
54531CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bristow Endodontic Associates PLLC Endodontics Current Accepting new patients
B&R Endodontic Associates, PLLC Endodontics Current Accepting new patients
Northern Virginia Endodontic Associates, PLLC Endodontics Past Accepting new patients

Locations

3833 Fairfax Dr
Ste 440
Arlington, VA 22203
Phone (267) 252-0125

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1700089984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 RUSSELL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012436",
            "telephone_number": "267-252-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 FAIRFAX DR",
            "address_2": "SUITE 440",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031772",
            "telephone_number": "703-528-8382",
            "fax_number": "703-469-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERON",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54531",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401412778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.