Individual provider Active NPI

Ralph Gitomer, DDS

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1982208799
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7013 Issued in MD
Practice address
1530 12TH St N Apt 506
Arlington, VA 22209-3656
Phone
(703) 528-6818
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7013 MD
General Practice Dentistry 1223G0001X 7013 MD Primary

Addresses

Primary practice location

1530 12TH St N Apt 506
Arlington, VA 22209-3656

Mailing address

1530 12TH St N Apt 506
Arlington, VA 22209-3656
Phone (703) 528-6818

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 7035286818 Direct

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
7013MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1982208799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 12TH ST N APT 506",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093656",
            "telephone_number": "703-528-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 12TH ST N APT 506",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093656",
            "telephone_number": "703-528-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITOMER",
        "first_name": "RALPH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "7013",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7035286818",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 12th St N Apt 506",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222093656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.