Foxchase Dental Group, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FOXCHASE DENTAL GROUP, PC

Practice address

4607 Duke St Unit 19a
Alexandria, VA 22304-2505

Phone

(571) 899-5094

Fax

(571) 919-2648

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Ali Shahrestani, DMD

Title

Owner

Phone

(571) 899-5094

Specialties & licenses 1

Addresses

Other names 1

• Foxchase Dental Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anas Al-Sabbagh, DDS

  • Periodontics
  • Alexandria, VA
  • NPI 1578090395

  Dentist

  NPD
• Junseok Kim

  • Dentist
  • Alexandria, VA
  • NPI 1194401737
  NPD
• Emily Grace Cardoso, DDS

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1801724224
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1003569013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 DUKE ST UNIT 19A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042505",
            "telephone_number": "571-899-5094",
            "fax_number": "571-919-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOXCHASE DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-899-5094",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foxchase Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariya Fox-Rabinovich, MA, RD, LDN, CDCES
• Christopher Hughes Fox, DMD, DMSC
• Heather Fox, LMT
• Joan Fox, LCSW
• Tara R Fox, CPNP
• Summer S Foxley, BCBA
• Pratima Singh Fozdar, M.D.
• Alexandra Dominique France, LCSW
• Margaret Lynne France, M.D.
• Gail Frances, NP

• Dentist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.