Individual provider Active NPI

Edward John Strittmatter Jr., D.D.S.

  • Endodontics
  • Centreville, VA
National Provider Identifier
1801894530
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401007891 Issued in VA
Practice address
5957 Centreville Crest LN
Centreville, VA 20121-2344
Phone
(703) 815-3636
Fax
(703) 815-1668
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401007891 VA Primary

Addresses

Primary practice location

5957 Centreville Crest LN
Centreville, VA 20121-2344

Mailing address

5957 Centreville Crest LN
Centreville, VA 20121-2344
Phone (703) 815-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 27, 2015 through Jul 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007891VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Verma & Nosrat PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801894530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 CENTREVILLE CREST LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212344",
            "telephone_number": "703-815-3636",
            "fax_number": "703-815-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 CENTREVILLE CREST LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212344",
            "telephone_number": "703-815-3636",
            "fax_number": "703-815-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRITTMATTER",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401007891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.