Organization Active NPI

Paul C Desper MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Manassas, VA
National Provider Identifier
1790929990
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
PAUL C DESPER MD
Practice address
9608 Champion CT
Manassas, VA 20110-4402
Phone
(703) 361-7121
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Paul C Desper, MD
Title
Owner
Phone
(703) 361-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

9608 Champion CT
Manassas, VA 20110-4402

Mailing address

9608 Champion CT
Manassas, VA 20110-4402
Phone (703) 361-7121

National Provider Directory

National Provider Directory

Locations

9608 Champion Ct
Manassas, VA 20110
Phone (703) 361-7121

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1790929990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 CHAMPION CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104402",
            "telephone_number": "703-361-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 CHAMPION CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104402",
            "telephone_number": "703-361-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C DESPER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "DESPER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-361-7121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.