Individual provider Active NPI

Andrew E Bluhm, DDS

  • Specialist
  • Ashburn, VA
National Provider Identifier
1881757441
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0401007764 Issued in VA
Practice address
44340 Premier PLZ
Suite 100
Ashburn, VA 20147-5025
Phone
(703) 729-8700
Fax
(703) 729-5300
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0401007764 VA Primary

Addresses

Primary practice location

44340 Premier PLZ
Suite 100
Ashburn, VA 20147-5025

Mailing address

38661 Laycock Farm CT
Hamilton, VA 20158-9448
Phone (540) 338-3970

Other identifiers 2

IdentifierTypeStateIssuer
067698OtherVAANTHEM BCBS PROVIDER NUMB
066607OtherVAANTHEM BCBS PROVIDER NUM

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 24, 2013 through Sep 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007764VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluhm, Dorsch and Vandervort, PC Specialist CurrentSince Dec 21, 2007 Accepting new patients

Locations

44340 Premier Plz
Ste 100
Ashburn, VA 20147
Phone (703) 729-8700

821 S King St
Ste F
Leesburg, VA 20175
Phone (703) 771-1771

25055 Riding Plz
Ste 120
South Riding, VA 20152
Phone (703) 729-8700

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881757441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38661 LAYCOCK FARM CT",
            "city": "HAMILTON",
            "state": "VA",
            "postal_code": "201589448",
            "telephone_number": "540-338-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ",
            "address_2": "SUITE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475025",
            "telephone_number": "703-729-8700",
            "fax_number": "703-729-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUHM",
        "first_name": "ANDREW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0401007764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER NUMB",
            "identifier": "067698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER NUM",
            "identifier": "066607",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.