Aaron J Iverson DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401415112 Issued in VA

Legal business name

AARON J IVERSON DDS, PLLC

Doing business as

Iverson Dental Care

Practice address

6632 George Washington Mem Hwy
Yorktown, VA 23692-4801

Phone

(940) 206-1503

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By 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

Dr. Aaron James Iverson, DDSNPI 1922428101

Title

Owner/Dentist

Phone

(940) 206-1503

Specialties & licenses 1

Addresses

Other names 1

• Iverson Dental Care Doing business as

Practitioners 1

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.

• Aaron James Iverson, DDS

  • Dentist
  • Yorktown, VA
  • NPI 1922428101
  NPD (past) Authorized official

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1770017626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 S CHASE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858732",
            "telephone_number": "940-206-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924801",
            "telephone_number": "940-206-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON J IVERSON DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-206-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iverson Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.