Individual provider Active NPI

Daniel Ribeiro, DDS

  • General Practice Dentistry
  • Lorton, VA
National Provider Identifier
1942796214
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416159 Issued in VA
Practice address
7764 Armistead Rd Ste 100
Lorton, VA 22079-1918
Phone
(703) 339-5090
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416159 VA Primary

Addresses

Primary practice location

7764 Armistead Rd Ste 100
Lorton, VA 22079-1918

Mailing address

12628 Plow CT
Fairfax, VA 22030-7274
Phone (786) 719-1209

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

LicenseStateTypeSpecialty
0401416159VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dentistry of Lorton General Practice Past Accepting new patients

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1942796214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12628 PLOW CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307274",
            "telephone_number": "786-719-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD STE 100",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791918",
            "telephone_number": "703-339-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.