NPIMap

Organization Active NPI

D & D Family Dentistry, PC

  • Dentist
  • Fredericksburg, VA
National Provider Identifier
1043718794
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412527 Issued in VA
Legal business name
D & D FAMILY DENTISTRY, PC
Practice address
5830 Harrison Rd
Fredericksburg, VA 22407-4202
Phone
(540) 710-0400
Fax
(540) 710-2322
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Dr. Angela M Diaz, DDS
Title
Owner/Dentist
Phone
(540) 710-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0401412527 VA Primary

Addresses

Primary practice location

5830 Harrison Rd
Fredericksburg, VA 22407-4202

Mailing address

5830 Harrison Rd
Fredericksburg, VA 22407-4202
Phone (540) 710-0400

National Provider Directory

National Provider Directory
Tax ID family
D D Family Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1043718794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 HARRISON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074202",
            "telephone_number": "540-710-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 HARRISON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074202",
            "telephone_number": "540-710-0400",
            "fax_number": "540-710-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "540-710-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.