NPIMap

Organization Active NPI

Aesthetic Dentistry of Oakton LLC

  • General Practice Dentistry
  • Oakton, VA
National Provider Identifier
1033508148
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413652 Issued in VA
Legal business name
AESTHETIC DENTISTRY OF OAKTON LLC
Practice address
2936 Chain Bridge Rd
Suite 200
Oakton, VA 22124-3003
Phone
(703) 255-1150
Fax
(703) 255-2733
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Joseph A. Khalil, DDS
Title
Owner
Phone
(703) 255-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401413652 VA Primary

Addresses

Primary practice location

2936 Chain Bridge Rd
Suite 200
Oakton, VA 22124-3003

Mailing address

2936 Chain Bridge Rd
Suite 200
Oakton, VA 22124-3003
Phone (703) 255-1150

National Provider Directory

National Provider Directory

Locations

2936 Chain Bridge Rd
Ste 200
Oakton, VA 22124
Phone (703) 255-1150

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1033508148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 CHAIN BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221243003",
            "telephone_number": "703-255-1150",
            "fax_number": "703-255-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 CHAIN BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221243003",
            "telephone_number": "703-255-1150",
            "fax_number": "703-255-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF OAKTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-255-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.