Organization Active NPI

Stephen a Mabry DDS PLC

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1720588973
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411464 Issued in VA
Legal business name
STEPHEN A MABRY DDS PLC
Doing business as
Stephen A Mabry DDS PLC
Practice address
2800 10TH St N
Arlington, VA 22201-2174
Phone
(703) 527-3554
Fax
(703) 527-8762
NPI assigned
Feb 14, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Beth Brady
Title
Office Manager
Phone
(703) 527-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411464 VA Primary

Addresses

Primary practice location

2800 10TH St N
Arlington, VA 22201-2174

Mailing address

2800 10TH St N
Arlington, VA 22201-2174
Phone (703) 527-3554

Other identifiers 1

IdentifierTypeStateIssuer
0401411464OtherVALICENSE NUMBER

Other names 1

  • Stephen A Mabry DDS PLC Doing business as

National Provider Directory

National Provider Directory

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": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1720588973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 10TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012174",
            "telephone_number": "703-527-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 10TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012174",
            "telephone_number": "703-527-3554",
            "fax_number": "703-527-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A MABRY DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-527-3554"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0401411464",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen A Mabry DDS PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.