Fairfax Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FAIRFAX ENDOSCOPY CENTER LLC

Practice address

12011 Route 50 Ste 103
Fairfax, VA 22033-3323

Phone

(410) 290-6677

Fax

(410) 290-6676

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Zachary Jones

Title

Ceo

Phone

(410) 290-6677

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1831079714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-6677",
            "fax_number": "410-290-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 ROUTE 50 STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333323",
            "telephone_number": "410-290-6677",
            "fax_number": "410-290-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-290-6677"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax County, Virginia
• Fairfax Dental Center
• Fairfax Dental Esthetics
• Fairfax Dental Partners, PC
• Fairfax Dentistry, PLLC
• Fairfax Eye Associates Inc
• Fairfax Eye Center, PC
• Fairfax Eye Docs, LLC
• Fairfax Family Life Behavioral Health, LLC
• Fairfax Family Practice Centers PC

• Ambulatory Surgical Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.