Organization Active NPI

Progressive Dental Care

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1073263620
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROGRESSIVE DENTAL CARE
Practice address
8301 Arlington Blvd Ste T2
Fairfax, VA 22031-2900
Phone
(571) 282-4226
Fax
(571) 282-4781
NPI assigned
Mar 26, 2022
Last updated
Mar 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Authorized official

Name
Dr. Alka Mahajan, DMDNPI 1821423666
Title
Owner
Phone
(571) 282-4226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8301 Arlington Blvd Ste T2
Fairfax, VA 22031-2900

Mailing address

8301 Arlington Blvd Ste T2
Fairfax, VA 22031-2900
Phone (571) 282-4226

Other identifiers 1

IdentifierTypeStateIssuer
2265837OtherVABUSINESS, PROFESSIONAL, AND OCCUPATIONAL LICENSE

National Provider Directory

National Provider Directory

Locations

8301 Arlington Blvd
Ste T2
Fairfax, VA 22031
Phone (571) 282-4226

Practitioners & affiliated clinicians

Practitioners 1

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": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1073263620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD STE T2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312900",
            "telephone_number": "571-282-4226",
            "fax_number": "571-282-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD STE T2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312900",
            "telephone_number": "571-282-4226",
            "fax_number": "571-282-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "ALKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-282-4226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS, PROFESSIONAL, AND OCCUPATIONAL LICENSE",
            "identifier": "2265837",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.