Stephanie G Djeu, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN1000506 Issued in DC

Practice address

14149 Robert Paris CT Ste B
Chantilly, VA 20151-4223

Phone

(703) 378-3115

NPI assigned

Jan 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Virginia Endodontic Group

  • Endodontics
  • Chantilly, VA
  • NPI 1841473865
  NPD (past)
• The Virginia Endodontic Group - Kingstowne

  • Dental Clinic/Center
  • Alexandria, VA
  • NPI 1134449341
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1083899520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14149 ROBERT PARIS CT STE B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14149 ROBERT PARIS CT STE B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514223",
            "telephone_number": "703-378-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJEU",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "DC",
            "license": "DEN1000506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diem H. Nguyen, D.D.S, P.C
• Juliet Lee Dills
• Mia Diserafino
• Pamela Jo Dixon-Predmore, L.P.C.
• Ernest D Dixon, RPH.
• DMC Pharmacy, LLC
• Tien So DO
• Charmaine Renee Dockett, LPC
• Jayne Dodson, BCBA
• Augustine A Dolcich, MD

• Endodontics in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.