Active NPI
Jason T Lipscomb DDS P C
- General Practice Dentistry
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401410585
- Legal business name
- JASON T LIPSCOMB DDS P C
- Practice address
- 200 Executive Center Pkwy
Suite 104
Fredericksburg, VA 22401-3177 - Phone
- (540) 373-1641
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason T. Lipscomb, D.D.S.
- Title
- Owner
- Phone
- (540) 373-1641
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401410585 | VA | Primary |
Addresses
Primary practice location
200 Executive Center Pkwy
Suite 104
Fredericksburg, VA 22401-3177
Mailing address
200 Executive Center Pkwy
Suite 104
Fredericksburg, VA 22401-3177
Phone (540) 373-1641
Other names 1
- Jason T. Lipscomb D.D.S. P.C.
National Provider Directory
National Provider DirectoryLocations
200 Executive Center Pkwy
Ste 104
Fredericksburg, VA 22401
Phone (540) 373-1641
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Fredericksburg, VA
- NPI 1437238599
-
- Dentist
- Fredericksburg, VA
- NPI 1194151449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336435200000",
"number": "1891986857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 EXECUTIVE CENTER PKWY",
"address_2": "SUITE 104",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013177",
"telephone_number": "540-373-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EXECUTIVE CENTER PKWY",
"address_2": "SUITE 104",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013177",
"telephone_number": "540-373-1641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON T LIPSCOMB DDS P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2012-05-08",
"status": "A",
"authorized_official_last_name": "LIPSCOMB",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-373-1641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401410585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jason T. Lipscomb D.D.S. P.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.