Organization Active NPI

Robert C Dost DDS PLLC

  • General Practice Dentistry
  • Lake Ridge, VA
National Provider Identifier
1740622406
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40100-5831 Issued in VA
Legal business name
ROBERT C DOST DDS PLLC
Practice address
1990 Old Bridge Rd
Suite #301
Lake Ridge, VA 22192-2383
Phone
(703) 491-4040
Fax
(703) 494-4859
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mrs. Brenda Lee Creel
Title
Office Manager
Phone
(703) 491-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40100-5831 VA Primary

Addresses

Primary practice location

1990 Old Bridge Rd
Suite #301
Lake Ridge, VA 22192-2383

Mailing address

1990 Old Bridge Rd
Suite #301
Lake Ridge, VA 22192-2383
Phone (703) 491-4040

National Provider Directory

National Provider Directory

Locations

1990 Old Bridge Rd
Ste 301
Woodbridge, VA 22192
Phone (703) 491-4040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1740622406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 OLD BRIDGE RD",
            "address_2": "SUITE #301",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922383",
            "telephone_number": "703-491-4040",
            "fax_number": "703-494-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 OLD BRIDGE RD",
            "address_2": "SUITE #301",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922383",
            "telephone_number": "703-491-4040",
            "fax_number": "703-494-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C DOST DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "CREEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-491-4040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "40100-5831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.