Active NPI
Robert A Cheron, DMD
- Endodontics
- Arlington, VA
National Provider Identifier
1700089984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401412778
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412778 | VA | MD | Endodontist |
| 54531 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Northern Virginia Endodontic Associates
- Endodontics
- Burke, VA
- NPI 1558887224
-
- Endodontics
- Bristow, VA
- NPI 1326799545
-
- Endodontics
- Arlington, VA
- NPI 1639460504
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
- Mae Dong Chen, PHARMD
- Yongjie Chen
- Hsiang-Ting Cheng
- Joyce Y Cheng
- Cherishing Families LLC (ComForCare Home Care - Arlington VA)
- Cherry Blossom Collective, PLLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
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.