Organization Active NPI

Dental Care of Alexandria and McLean PLLC

  • Dentist
  • Alexandria, VA
National Provider Identifier
1033878566
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CARE OF ALEXANDRIA AND MCLEAN PLLC
Practice address
1451 Belle Haven Rd Ste 430
Alexandria, VA 22307-1201
Phone
(703) 765-6400
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan MGMT
Phone
(727) 424-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1451 Belle Haven Rd Ste 430
Alexandria, VA 22307-1201

Mailing address

1451 Belle Haven Rd Ste 430
Alexandria, VA 22307-1201

Other practice location 1

6711 Whittier Ave Ste 201
Mc Lean, VA 22101-4540
Phone (703) 532-2022

Other names 1

  • Dental Care Alliance Other name

National Provider Directory

National Provider Directory

Locations

1451 Belle Haven Rd
Ste 430
Alexandria, VA 22307
Phone (703) 765-6400

6711 Whittier Ave
Ste 201
McLean, VA 22101
Phone (703) 356-2020

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1033878566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD STE 430",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD STE 430",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "703-765-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Whittier Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221014540",
            "country_code": "US",
            "telephone_number": "703-532-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL CARE OF ALEXANDRIA AND MCLEAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MGMT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.