Organization Active NPI

Thomas C. Roberts, Jr., DMD, PC

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1710991062
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03690021 Issued in VA
Legal business name
THOMAS C. ROBERTS, JR., DMD, PC
Practice address
8101 Hinson Farm Rd
Suite #216
Alexandria, VA 22306-3403
Phone
(703) 360-6455
Fax
(703) 360-6456
NPI assigned
Jul 29, 2006
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Thomas C. Roberts Jr., DMDNPI 1881600047
Title
President
Phone
(703) 360-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 03690021 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd
Suite #216
Alexandria, VA 22306-3403

Mailing address

8101 Hinson Farm Rd
Suite #216
Alexandria, VA 22306-3403
Phone (703) 360-6455

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 206
Alexandria, VA 22306
Phone (703) 360-6455

8101 Hinson Farm Rd
Ste 216
Alexandria, VA 22306
Phone (703) 360-6455

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1710991062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE #216",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-360-6455",
            "fax_number": "703-360-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE #216",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-360-6455",
            "fax_number": "703-360-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. ROBERTS, JR., DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-360-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "03690021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.