Audrey Maiurano, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412842 Issued in VA

Practice address

7841 Rolling Rd Ste C
Springfield, VA 22153-2838

Phone

(703) 455-5555

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 1, 2016 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Audrey Maiurano,DDS,PC

  • General Practice Dentistry
  • Springfield, VA
  • NPI 1972933000
  NPD (past) Authorized official

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1023339504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 ROLLING RD STE C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532838",
            "telephone_number": "703-455-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 ROLLING RD STE C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532838",
            "telephone_number": "703-455-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIURANO",
        "first_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Mahafkey
• Saad Fakhri Mahdi, M.D.
• Gina Mai, PA-C
• Phuong Xuan Mai, MD
• Main Street Pharmacy, LLC
• Daria Maksimova
• Alyson Marie Maldonado, M.A. CCC-SLP
• Gabriel Maldonado, RBT
• Sina Malekuti, DDS
• Joycelyn Divine Malosa, RBT

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.