Organization Active NPI

Anderson and Barragan Dental Associates II PLLC

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1124713490
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDERSON AND BARRAGAN DENTAL ASSOCIATES II PLLC
Practice address
5115 Franconia Rd Ste D
Alexandria, VA 22310-1903
Phone
(703) 971-2788
Fax
(703) 922-9427
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Jhosdyn Barragan, DDSNPI 1770003279
Title
Dentist
Phone
(703) 971-2788

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

5115 Franconia Rd Ste D
Alexandria, VA 22310-1903

Mailing address

5115 Franconia Rd Ste D
Alexandria, VA 22310-1903
Phone (703) 971-2788

Other names 1

  • RenovaSmiles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1124713490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 FRANCONIA RD STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101903",
            "telephone_number": "703-971-2788",
            "fax_number": "703-922-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 FRANCONIA RD STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101903",
            "telephone_number": "703-971-2788",
            "fax_number": "703-922-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON AND BARRAGAN DENTAL ASSOCIATES II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "BARRAGAN",
        "authorized_official_first_name": "JHOSDYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-971-2788",
        "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": [
        {
            "organization_name": "RenovaSmiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.