NPIMap

Organization Active NPI

Fidel Dental Group

Doing business as Arlington Pediatric Dentistry

  • Pediatric Dentistry
  • Arlington, VA
National Provider Identifier
1043510282
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1396812004 Issued in DC
Legal business name
FIDEL DENTAL GROUP
Doing business as
Arlington Pediatric Dentistry
Practice address
5500 Columbia Pike
Suite a
Arlington, VA 22204
Phone
(703) 671-5437
Fax
(703) 671-5544
NPI assigned
Oct 21, 2010
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Louis A Fidel
Title
Managing Director
Phone
(703) 671-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 1396812004 DC Primary

Addresses

Primary practice location

5500 Columbia Pike
Suite a
Arlington, VA 22204

Mailing address

5500 Columbia Pike
Suite a
Arlington, VA 22204
Phone (703) 671-5437

Other names 1

  • Arlington Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5500 Columbia Pike
Ste A
Arlington, VA 22204
Phone (703) 671-5437

Practitioners & affiliated clinicians

Practitioners 5

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": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1043510282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 COLUMBIA PIKE",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-671-5437",
            "fax_number": "703-671-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 COLUMBIA PIKE",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-671-5437",
            "fax_number": "703-671-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "FIDEL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "703-671-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "1396812004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.