Active NPI
Paul C Desper MD
- Endocrinology, Diabetes & Metabolism Physician
- Manassas, VA
National Provider Identifier
1790929990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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 DirectoryLocations
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.