Organization Active NPI

Steven E. Lipson, DPM

  • Podiatric Clinic/Center
  • Vienna, VA
National Provider Identifier
1861628596
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
STEVEN E. LIPSON, DPM
Practice address
8206 Leesburg Pike
Suite 401
Vienna, VA 22182-2614
Phone
(703) 893-6411
Fax
(703) 893-6415
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. Steven E. Lipson, D.P.M.
Title
Owner
Phone
(703) 893-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

8206 Leesburg Pike
Suite 401
Vienna, VA 22182-2614

Mailing address

8206 Leesburg Pike
Suite 401
Vienna, VA 22182-2614
Phone (703) 893-6411

Other identifiers 1

IdentifierTypeStateIssuer
9300767MedicaidVA

Other names 1

  • Tysons Corner Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

Locations

8206 Leesburg Pike
Ste 401
Vienna, VA 22182
Phone (703) 734-6050

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1861628596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-893-6411",
            "fax_number": "703-893-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-893-6411",
            "fax_number": "703-893-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E. LIPSON, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "LIPSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-893-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9300767",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tysons Corner Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.