NPIMap

Organization Active NPI

Steve J Lan DDS PC

  • Pediatric Dentistry
  • Leesburg, VA
National Provider Identifier
1962884098
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
STEVE J LAN DDS PC
Practice address
1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718
Phone
(703) 771-0007
Fax
(703) 771-6088
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Dr. Steve Juh Lan, DDSNPI 1033369574
Title
Owner/President/Dentist
Phone
(703) 771-0007

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718

Mailing address

1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718
Phone (703) 771-0007

Other identifiers 1

IdentifierTypeStateIssuer
035518600MedicaidVA

Other names 1

  • Loudoun Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Loudoun Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1503 Dodona Ter
Ste 200
Leesburg, VA 20175
Phone (703) 771-0007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1962884098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 DODONA TER STE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754718",
            "telephone_number": "703-771-0007",
            "fax_number": "703-771-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 DODONA TER STE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754718",
            "telephone_number": "703-771-0007",
            "fax_number": "703-771-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE J LAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "LAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "JUH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "703-771-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035518600",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loudoun Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.