Reston Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

RESTON ENDOSCOPY CENTER

Practice address

1939 Roland Clarke PL
Suite 200
Reston, VA 20191-1443

Phone

(703) 766-2650

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Andrew M Axelrad, M.D.

Title

President

Phone

(703) 766-2650

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1720535958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 ROLAND CLARKE PL",
            "address_2": "SUITE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911443",
            "telephone_number": "703-766-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 ROLAND CLARKE PL",
            "address_2": "SUITE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911443",
            "telephone_number": "703-766-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "AXELRAD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-766-2650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reston Chiropractic, Inc.
• Reston Dental Care PC
• Reston Dental Group, PC
• Reston Ear Nose and Throat PC
• Reston Endodontics, PLLC
• Reston Express LLC
• Reston Eye Associates
• Reston Family & Cosmetic Dentistry
• Reston Family Dentist Group PLLC
• Reston Hospital Center LLC

• Endoscopy Clinic/Center in Reston, VA
• Providers in Reston, VA by specialty
• Endoscopy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.