DR. PAUL FIEBIGER SUPAN (NPI# 1962591545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962591545 |
| Entity Type | Individual |
| Full Name | DR. PAUL FIEBIGER SUPAN |
| Credential | DDS |
| Practice Address |
823 South King St Suite A Leesburg VA 20175-3920 |
| Practice Telephone | 7037711220 |
| Practice Fax Number | 7037719333 |
| Mailing Telephone | 7037711220 |
| Mailing Fax Number | 7037719333 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
BS2979411 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 28031 | 01 |
| Street Address |
823 SOUTH KING ST SUITE A |
| City | LEESBURG |
| State | VA |
| Zip Code | 20175-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194840256 | Kenneth I Rothschild | Dentist | 823 South King St, Suite E, Leesburg, VA 20175 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679063 | Warren Joseph Marion | Internal Medicine | 38483 Forest Mills Rd, Leesburg, VA 20175 | 2019-03-25 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1184137242 | K2m, Inc. | Orthopaedic Surgery | K2m, Inc., 600 Hope Parkway Se, Leesburg, VA 20175 | 2017-11-13 |
| 1821511122 | Barsha Baral | Taxi | 651 Tammy Ter Se, Leesburg, VA 20175 | 2017-07-19 |
| 1508316282 | Stefanie Moreno | Social Worker | 914 Rhonda Pl Se, Leesburg, VA 20175 | 2016-10-06 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1932597317 | Christine Sauthoff Carter | Speech-Language Pathologist | 212 Wingate Pl Sw, Leesburg, VA 20175 | 2015-01-07 |
| 1174946651 | Sucess By Therapeutic and Educational Play Services | Speech-Language Pathologist | 107 Pheasant Pl Sw, Leesburg, VA 20175 | 2014-02-04 |
| 1790115350 | Ahmed Salem | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2013-11-19 |
| 1386077337 | Kathleen Mary Harter | Physical Therapy Assistant | 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 | 2013-08-14 |
| Find all providers in zip 20175 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306367917 | Lombard Orthodontics, Pllc | Dentist | 540 Fort Evans Rd Ste 102, Leesburg, VA 20176-3379 | 2017-07-05 |
| 1639436397 | David Alan Wollenschlaeger | Dentist | 33050 Professional Dr, Leesburg, FL 34788-3750 | 2012-04-19 |
| 1407189137 | James Matthew Hancock | Dentist | 17 Fort Evans Rd Ne Ste E, Leesburg, VA 20176-4400 | 2009-09-14 |
| 1205930955 | Robert S Strange | Dentist | 17e Ft Evans Rd Ne, Leesburg, VA 20176 | 2006-09-12 |
| 1134136955 | Steven Russell Mullen | Dentist | 751 Miller Dr Se Ste G1, Suite G-1, Leesburg, VA 20175-8993 | 2006-08-02 |
| 1093091530 | Navin Hukmani, Dds, LLC | Dentist | 19415 Deerfield Ave, Suite 306, Leesburg, VA 20176-8452 | 2011-10-28 |
| 1407152457 | Legacy Orthodontics, Plc | Dentist | 540 Fort Evans Rd, 102, Leesburg, VA 20176-3379 | 2011-02-08 |
| 1144548447 | Robert S. Strange | Dentist | 17 Fort Evans Rd Ne Ste E, Leesburg, VA 20176-4400 | 2010-05-11 |
| 1568638773 | Markus L Niepraschk | Dentist | 540 Fort Evans Rd, 102, Leesburg, VA 20176-4098 | 2008-05-07 |
| 1063424026 | Navin Hukmani | Dentist | 19415 Deerfield Avenue, Suite 306, Leesburg, VA 20176-8472 | 2006-08-11 |
| Find all providers in LEESBURG | ||||
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| 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.