US Navy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050886 Issued in NY

Legal business name

US NAVY

Practice address

502 Shoreline Rd
Carrollton, VA 23314-3368

Phone

(917) 224-4968

NPI assigned

Jan 30, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Paige Fries, D.D.S.

Title

Dentist

Phone

(917) 224-4968

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144291121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "USS CARL VINSON,CVN70",
            "address_2": "DENTAL DEPT",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09566",
            "telephone_number": "757-534-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SHORELINE RD",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143368",
            "telephone_number": "917-224-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-224-4968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Carrollton, VA
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• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.