NPIMap

Organization Active NPI

William V Dougherty III DDS PLC

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1104290451
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAM V DOUGHERTY III DDS PLC
Practice address
200 Little Falls St
Suite 506
Falls Church, VA 22046-4302
Phone
(703) 532-3300
Fax
(703) 532-3302
NPI assigned
Nov 24, 2015
Organization subpart
Yes
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dr. William Vincent Dougherty III, DDSNPI 1134142797
Title
Dentist/Owner
Phone
(703) 532-3300

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 Little Falls St
Suite 506
Falls Church, VA 22046-4302

Mailing address

200 Little Falls St
Suite 506
Falls Church, VA 22046-4302
Phone (703) 532-3300

National Provider Directory

National Provider Directory
Part of
Giovanni P Iuculano DDS PC

Locations

200 Little Falls St
Ste 506
Falls Church, VA 22046
Phone (703) 532-3300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1104290451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LITTLE FALLS ST",
            "address_2": "SUITE 506",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464302",
            "telephone_number": "703-532-3300",
            "fax_number": "703-532-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LITTLE FALLS ST",
            "address_2": "SUITE 506",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464302",
            "telephone_number": "703-532-3300",
            "fax_number": "703-532-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM V DOUGHERTY III DDS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC VALLEY DENTAL CARE, PLLC",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "703-532-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.