The Virginia Endodontic Group - Kingstowne

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE VIRGINIA ENDODONTIC GROUP - KINGSTOWNE

Practice address

6831 Sir Viceroy Dr Ste 210
Alexandria, VA 22315-3713

Phone

(703) 922-9040

Fax

(703) 922-9041

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Tu-Son Ngo

Title

Owner

Phone

(703) 378-3115

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stephanie G Djeu, DMD

  • Endodontics
  • Chantilly, VA
  • NPI 1083899520
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1134449341",
    "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": "6831 SIR VICEROY DR STE 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153713",
            "telephone_number": "703-922-9040",
            "fax_number": "703-922-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VIRGINIA ENDODONTIC GROUP - KINGSTOWNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TU-SON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-378-3115"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.