JASON T LIPSCOMB DDS P C (NPI# 1891986857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891986857 |
| Entity Type | Organization |
| Organization Name | JASON T LIPSCOMB DDS P C |
| Other Organization Name | JASON T. LIPSCOMB D.D.S. P.C. |
| Practice Address |
200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 |
| Practice Telephone | 5403731641 |
| Mailing Telephone | 5403731641 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2012-05-08 |
| Authorized Official Name | DR. JASON T. LIPSCOMB (OWNER) |
| Authorized Official Telephone | 5403731641 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401410585 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Jason T. Lipscomb D.D.S. P.C. | Other Name - Individual/Organization |
| Street Address |
200 EXECUTIVE CENTER PKWY SUITE 104 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366498545 | Thomas Mark Johnson | Ophthalmology | 200 Executive Center Pkwy, Suite 102, Fredericksburg, VA 22401-3177 | 2006-05-26 |
| 1275012759 | Katrina Nickerson | Occupational Therapist | 200 Executive Center Pkwy, Fredericksburg, VA 22401-3177 | 2018-08-07 |
| 1326566605 | Gabrielle Walsh | Speech-Language Pathologist | 200 Executive Center Pkwy, Fredericksburg, VA 22401-3177 | 2017-09-06 |
| 1639603418 | Michelle Norris | Occupational Therapist | 200 Executive Center Pkwy, Suite 106, Fredericksburg, VA 22401-3177 | 2017-04-18 |
| 1629522115 | Robert Reed Senter Jr. | Speech-Language Pathologist | 200 Executive Center Pkwy, Suite 106, Fredericksburg, VA 22401-3177 | 2016-08-12 |
| 1326166620 | Amedisys Home Health of Virginia LLC | Home Health | 200 Executive Center Pkwy, Suite 100, Fredericksburg, VA 22401-3177 | 2007-03-26 |
| 1619043908 | Susan Leslie Lansbury | Nurse Practitioner | 200 Executive Center Pkwy, Suite #106, Fredericksburg, VA 22401-3177 | 2006-11-28 |
| 1437238599 | Jason Todd Lipscomb | Dentist | 200 Executive Center Pkwy, Suite #104, Fredericksburg, VA 22401-3177 | 2006-11-02 |
| 1811934359 | Rappahannock Pediatric Associates, P.C. | Pediatrics | 200 Executive Center Pkwy, Suite 101, Fredericksburg, VA 22401-3107 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609224567 | Yosreldin Koheil Dds Plc | Dentist | 10040 Jefferson Davis Hwy, Ste 112, Fredericksburg, VA 22407-9431 | 2016-06-01 |
| 1902235211 | Kwesi Gill | Dentist | 927 Maple Grove Dr Ste 111, Fredericksburg, VA 22407-6936 | 2013-11-06 |
| 1023385663 | Neibauer Dental Care, PC | Dentist | 9859 Jefferson Davis Hwy, Fredericksburg, VA 22407-9422 | 2011-11-28 |
| 1760789796 | Quality Dental, Pllc | Dentist | 5100 Southpoint Pkwy, Fredericksburg, VA 22407-2661 | 2011-02-28 |
| 1861797326 | Tamesha Morris Dds PC | Dentist | 3904 N Andover Ln, Fredericksburg, VA 22408-7742 | 2011-01-14 |
| 1619299849 | Wayne L Whitley | Dentist | 433 Bridgewater St, Fredericksburg, VA 22401-3347 | 2010-02-15 |
| 1932432770 | John Ryan Bailey | Dentist | 10705 Courthouse Rd Ste 118, Fredericksburg, VA 22407-7797 | 2009-09-11 |
| 1407098197 | Carter Milan Waller | Dentist | 1417 Parcell St, Fredericksburg, VA 22401-4616 | 2009-03-27 |
| 1932374683 | Fredericksburg Dental Care | Dentist | 10620 Courthouse Rd, Fredericksburg, VA 22407-1602 | 2008-04-24 |
| 1538330741 | Lawrence Phillips | Dentist | 974 Bragg Rd, Fredericksburg, VA 22407-6979 | 2008-03-14 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on JASON T LIPSCOMB DDS P C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.