Active NPI
Alyson N Lasater, DDS
- General Practice Dentistry
- Fort Myer, VA
National Provider Identifier
1962837211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11390271-9926
- Practice address
- 401 Carpenter Rd BLDG 525
Fort Myer, VA 22211-1009 - Phone
- (703) 696-7979
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11390271-9926 | UT | Primary |
Addresses
Primary practice location
401 Carpenter Rd BLDG 525
Fort Myer, VA 22211-1009
Mailing address
8648B Clagett St SW
Bolling Afb, DC 20032-7731
Other names 1
- Alyson N Straub
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 |
|---|---|---|---|
| 11390271-9926 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1962837211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8648B CLAGETT ST SW",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200327731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CARPENTER RD BLDG 525",
"city": "FORT MYER",
"state": "VA",
"postal_code": "222111009",
"telephone_number": "703-696-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASATER",
"first_name": "ALYSON",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "11390271-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSON",
"last_name": "STRAUB",
"middle_name": "N",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myer, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.