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NPI 1104477702, an individual provider in ALDIE, VA 20105.

NPI
1104477702
Entity type
Individual (type 1)
Status
Active
Practice location
ALDIE, VA 20105
Enumerated
2019-09-25
Last updated
2019-09-25
Request
curl https://api.healthcare.dev/v1/providers/1104477702 \
  -H "Authorization: Bearer $HDEV_API_KEY"

NPPES

Taxonomy codes

  • 101YM0800X Primary

Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.

Official record

The CMS NPI Registry is the official source for this NPI: NPI 1104477702 in the NPI Registry.

Use it

Look up 1104477702 from code or an agent

curl
curl https://api.healthcare.dev/v1/providers/1104477702 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up NPI 1104477702. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.

Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.