Peter Lanzaro DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40401007298 Issued in VA

Legal business name

PETER LANZARO DDS PC

Practice address

8918 Village Shops Dr
Fairfax Station, VA 22039-2610

Phone

(703) 690-0102

Fax

(703) 690-0830

NPI assigned

Aug 17, 2006

Last updated

Nov 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter J LanzaroNPI 1447360441

Title

Dentist

Phone

(703) 690-0102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter J Lanzaro, DDS

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1447360441
  NPD (past) Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1710090261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 VILLAGE SHOPS DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392610",
            "telephone_number": "703-690-0102",
            "fax_number": "703-690-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 VILLAGE SHOPS DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392610",
            "telephone_number": "703-690-0102",
            "fax_number": "703-690-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LANZARO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "LANZARO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-690-0102",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "40401007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• General Practice Dentistry in Virginia

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