Active NPI
Aaron James Iverson, DDS
- Dentist
- Yorktown, VA
National Provider Identifier
1922428101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415112
- Practice address
- 6912 George Washington Mem Hwy
Yorktown, VA 23692-4806 - Phone
- (757) 898-5468
- NPI assigned
- Apr 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415112 | VA | Primary |
| Dentist | 122300000X | 9294464-9922 | UT | |
| Dentist | 122300000X | D1054 | SD | |
| General Practice Dentistry | 1223G0001X | 0401415112 | VA |
Addresses
Primary practice location
6912 George Washington Mem Hwy
Yorktown, VA 23692-4806
Mailing address
3016 S Chase
Williamsburg, VA 23185-8732
Phone (940) 206-1503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1054 | SD | MD | Dentist |
| 9294464-9922 | UT | MD | Dentist |
| 0401415112 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy K Johnston, DDS & Associates | General Practice | Past | Accepting new patients |
| Aaron J Iverson DDS, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Yorktown, VA
- NPI 1770017626
-
- General Practice Dentistry
- Williamsburg, VA
- NPI 1144430463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1922428101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 S CHASE",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231858732",
"telephone_number": "940-206-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6912 GEORGE WASHINGTON MEM HWY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236924806",
"telephone_number": "757-898-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "AARON",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-25",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415112",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "9294464-9922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SD",
"license": "D1054",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.