Active NPI
Benjamin Russell Methvin, DMD
- General Practice Dentistry
- Fort Belvoir, VA
National Provider Identifier
1811976772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5220
- Practice address
- 9225 Doerr Rd
Fort Belvoir, VA 22060 - Phone
- (571) 231-6053
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5220 | AL | Primary |
Addresses
Primary practice location
9225 Doerr Rd
Fort Belvoir, VA 22060
Mailing address
7700 Arlington Blvd Ste 5140
Falls Church, VA 22042-5191
Phone (703) 681-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5220 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1811976772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 ARLINGTON BLVD STE 5140",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220425191",
"telephone_number": "703-681-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 DOERR RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "22060",
"telephone_number": "571-231-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METHVIN",
"first_name": "BENJAMIN",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2024-11-21",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.