Organization Active NPI

Endependence Center of Northern Virginia, Inc.

  • Voluntary or Charitable Agency
  • Arlington, VA
National Provider Identifier
1841336831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
ENDEPENDENCE CENTER OF NORTHERN VIRGINIA, INC.
Practice address
3100 Clarendon Blvd
Arlington, VA 22201-5330
Phone
(703) 525-3268
Fax
(703) 525-3585
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David V Burds
Title
Interim Executive Director
Phone
(703) 525-3268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3100 Clarendon Blvd
Arlington, VA 22201-5330

Mailing address

3100 Clarendon Blvd
Arlington, VA 22201-5330
Phone (703) 525-3268

National Provider Directory

National Provider Directory
Tax ID family
Endependence Center of Northern Virginia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 Clarendon Blvd
Arlington, VA 22201
Phone (703) 525-3268

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841336831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CLARENDON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015330",
            "telephone_number": "703-525-3268",
            "fax_number": "703-525-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CLARENDON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015330",
            "telephone_number": "703-525-3268",
            "fax_number": "703-525-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEPENDENCE CENTER OF NORTHERN VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-525-3268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.