Organization Active NPI

Jason T Lipscomb DDS P C

  • General Practice Dentistry
  • Fredericksburg, VA
National Provider Identifier
1891986857
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410585 Issued in VA
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

Updated by the provider on May 8, 2012

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.NPI 1437238599
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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. Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.