Organization Active NPI

Naturadent, P.C.

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1023287737
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401411771 Issued in VA
Legal business name
NATURADENT, P.C.
Practice address
9508A Lee Hwy
Fairfax, VA 22031-2303
Phone
(215) 870-6186
Fax
(703) 652-2513
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Dongho Kang, DMD
Title
Owner
Phone
(215) 870-6186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401411771 VA Primary

Addresses

Primary practice location

9508A Lee Hwy
Fairfax, VA 22031-2303

Mailing address

9508A Lee Hwy
Fairfax, VA 22031-2303
Phone (215) 870-6186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1023287737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508A LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312303",
            "telephone_number": "215-870-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508A LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312303",
            "telephone_number": "215-870-6186",
            "fax_number": "703-652-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURADENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DONGHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-870-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.