Active NPI
Naturadent, P.C.
- Dental Clinic/Center
- Fairfax, VA
National Provider Identifier
1023287737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 0401411771
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.