Michael K. Obeng, D.D.S., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL K. OBENG, D.D.S., PLLC

Practice address

3801 Fairfax Dr
Ste. 24
Arlington, VA 22203-1762

Phone

(571) 290-5925

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Michael Obeng

Title

Owner

Phone

(402) 393-2726

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Care USA Doing business as

Tax ID family

Michael K Obeng DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael K. Obeng, D.D.S., PLLC

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1588119200
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Michael K. Obeng, D.D.S., PLLC

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1588119200
  NPPES parent name

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1124495536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S 143RD CIR",
            "address_2": "STE. 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374516",
            "telephone_number": "402-393-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR",
            "address_2": "STE. 24",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "571-290-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. OBENG, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-393-2726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael Defosse
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• Joyce Migdal, PH.D.

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.