Park Avenue Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARK AVENUE DENTAL PLLC

Practice address

313 Park Ave Ste 101
Falls Church, VA 22046-3303

Phone

(703) 409-1700

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Geith Kallas, DDS

Title

Owner

Phone

(703) 622-3300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1043947849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD STE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK AVE STE 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463303",
            "telephone_number": "703-409-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "GEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-622-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Abdullah Paracha, DO
• Jasmin Parada
• Elizabeth Frances Paradise
• Paramount Therapy
• Jen H Paras, MSN CCRN BSN RN
• Park Avenue Medical Group, P.C.
• Esther Park, DDS
• Esther Min Park
• Hannah Ariel Hyein Park
• Hannah Jiyoon Park

• Dental Clinic/Center in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.