Individual provider Active NPI

David Palmieri

  • Endodontics
  • Alexandria, VA
National Provider Identifier
1003090234
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401410439 Issued in VA
Practice address
1650 King St Ste 300
Alexandria, VA 22314-2747
Phone
(703) 836-0006
Fax
(703) 836-0009
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401410439 VA Primary

Addresses

Primary practice location

1650 King St Ste 300
Alexandria, VA 22314-2747

Mailing address

1650 King Street Suite300
Alexandria, VA 22314
Phone (703) 836-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401410439VAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1003090234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 KING STREET SUITE300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-836-0006",
            "fax_number": "703-836-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 KING ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142747",
            "telephone_number": "703-836-0006",
            "fax_number": "703-836-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMIERI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401410439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.