DR. IVAN ROMAN (NPI# 1023001831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023001831 |
| Entity Type | Individual |
| Full Name | DR. IVAN ROMAN |
| Credential | DDS |
| Practice Address |
3259 Catlin Ave Naval Health Clinic Quantico Quantico VA 22134 |
| Practice Telephone | 7037842802 |
| Mailing Telephone | 7037842802 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
40114 | CA | Dental Providers |
| Street Address |
3259 CATLIN AVE NAVAL HEALTH CLINIC QUANTICO |
| City | QUANTICO |
| State | VA |
| Zip Code | 22134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987354 | Scott Alan Bauer | Optometrist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2020-06-18 |
| 1689219214 | Caitlin Rose Morgan | Nurse Practitioner | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2019-11-07 |
| 1790329761 | Lindsay Elizabeth Jensen | Physician Assistant | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2019-11-03 |
| 1679008312 | Lien Vinh Bao Lee | Pharmacist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2017-05-01 |
| 1447703376 | Anne Sidwell | Physical Therapist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2016-07-27 |
| 1174997324 | Keith Lee Sr. | Physical Therapist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-11-25 |
| 1962880344 | Lesley Michelle Washington | Registered Nurse | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-05-18 |
| 1215314042 | Jorge Gonzalo Jara | Physician Assistant | 3259 Catlin Ave, Naval Health Clinic, Quantico, VA 22134-6050 | 2015-04-30 |
| 1144616467 | Jenna Golding | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-04-14 |
| 1124410444 | William Grello | Physician Assistant | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407413065 | Elyssa Marie Salcido | Physician Assistant | Naval Heatlh Clinic Quantico, 3259 Catlin Avenue, Quantico, VA 22134 | 2019-05-20 |
| 1396277885 | Krista Lynn Greene | Optometrist | 3259 Catilin Avenue, Naval Health Clinic, Quantico, Quantico, VA 22134 | 2017-04-03 |
| 1639526593 | Kathy Olson | Social Worker | 2134 Barnett Avenue, Little Hall Lower Level, Quantico, VA 22134 | 2016-05-20 |
| 1215285788 | Laura K Goodman | Specialist/Technologist | 12081 Mason Dr, Quantico, VA 22134 | 2012-08-15 |
| 1437441706 | Danielle Michelle Lagoski | Family Medicine | 1998 Hill Ave, Quantico, VA 22134 | 2011-05-05 |
| 1639493695 | Alicia Elizabeth Heili | Specialist/Technologist | 24164 Belleau, Quantico, VA 22134 | 2010-03-19 |
| 1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
| 1194824227 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Nmc 2200 Lester Avenue, Quantico, VA 22134 | 2006-09-22 |
| 1780783811 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Quantico Nmc Attn: Third Party Billing, 3259 Catlin Ave, Quantico, VA 22134 | 2006-09-22 |
| 1548219249 | Andrew Alexander Mcbain | Chiropractor | The Basic School Ray Health Clinic, Mcb2 24008, Quantico, VA 22134 | 2006-05-09 |
| Find all providers in zip 22134 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
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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.