Douglas Herbert, D.D.S., LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008867 Issued in VA

Legal business name

DOUGLAS HERBERT, D.D.S., LTD.

Practice address

2 Cardinal Park Dr SE
Suite 201a
Leesburg, VA 20175-4448

Phone

(703) 777-8777

Fax

(703) 777-6901

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Brown, D.D.S.NPI 1710188560

Title

President

Phone

(703) 777-8777

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.

• Amanda E Brown, D.D.S.

  • General Practice Dentistry
  • Leesburg, VA
  • NPI 1710188560
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720124977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE",
            "address_2": "SUITE 201A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "703-777-8777",
            "fax_number": "703-777-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE",
            "address_2": "SUITE 201A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "703-777-8777",
            "fax_number": "703-777-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS HERBERT, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-777-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Doll, PSY.D.
• Abigail Anne Donahue
• Rebecca Leigh Doody, PA-C
• Rachelle Dorne, OTR
• Mary Robert Dorsey-Lee, RPH
• Tina Douroudian, O.D.
• Samantha Dowd, DNP, FNP-BC
• Erica C Dowell
• Dr Karen Larson & Associates, LLC
• Dr. Deidra B Kokel DDS PC

• General Practice Dentistry in Leesburg, VA
• Providers in Leesburg, 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 Aug 22, 2020; 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.