Individual provider Active NPI

Michael Douglas Silveus, DDS

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1124219365
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006822 Issued in VA
Practice address
703 Park Ave
Falls Church, VA 22046-3212
Phone
(703) 532-2020
Fax
(703) 532-0019
NPI assigned
Aug 5, 2007
Reactivated
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006822 VA Primary

Addresses

Primary practice location

703 Park Ave
Falls Church, VA 22046-3212

Mailing address

703 Park Avenue
Falls Church, VA 22046
Phone (703) 532-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401006822VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1124219365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PARK AVENUE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22046",
            "telephone_number": "703-532-2020",
            "fax_number": "703-532-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PARK AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463212",
            "telephone_number": "703-532-2020",
            "fax_number": "703-532-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEUS",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-04-23",
        "deactivation_date": "2007-09-11",
        "reactivation_date": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006822",
            "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 Apr 23, 2012; 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.