Individual provider Active NPI

Mary Ann Choby, DMD, MS

  • Endodontics
  • Vienna, VA
National Provider Identifier
1982690897
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5957 Issued in VA
Practice address
8133 Leesburg Pike
Suite 610
Vienna, VA 22182-2706
Phone
(703) 448-8433
Fax
(703) 448-8937
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5957 VA Primary

Addresses

Primary practice location

8133 Leesburg Pike
Suite 610
Vienna, VA 22182-2706

Mailing address

8133 Leesburg Pike
Suite 610
Vienna, VA 22182-2706
Phone (703) 448-8433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170622001680 PA Order and Referring Only - DentistPractitioner - Dentist 5597071035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5957VAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1982690897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 610",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-448-8433",
            "fax_number": "703-448-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 610",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-448-8433",
            "fax_number": "703-448-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOBY",
        "first_name": "MARY ANN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.