Cedar Ridge Builders LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2705 119550A Issued in VA

Legal business name

CEDAR RIDGE BUILDERS LLC

Practice address

7617 Fisher Dr
Falls Church, VA 22043-1210

Phone

(703) 969-2585

NPI assigned

Dec 11, 2008

Last updated

Dec 11, 2008By 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

Mr. Ian Stewart Sanderson, CLASS A BLD

Title

Managing Member

Phone

(703) 969-2585

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1740425230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 FISHER DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431210",
            "telephone_number": "703-969-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 FISHER DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431210",
            "telephone_number": "703-969-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE BUILDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "703-969-2585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CLASS A BLD"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705 119550A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VA. BOARD FOR CONTRACTORS",
            "identifier": "2705 119550A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.