Kayley Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KAYLEY DENTAL PLLC

Doing business as

Superkids Pediatric Dentistry

Practice address

8101 Hinson Farm Rd Ste 109
Alexandria, VA 22306-3403

Phone

(703) 516-8892

Fax

(703) 563-9580

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 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

Daniela Alderetes

Title

Financial Director

Phone

(571) 919-5100

Specialties & licenses 1

Addresses

Other names 1

• Superkids Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1164133450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 109",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-516-8892",
            "fax_number": "703-563-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 109",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-516-8892",
            "fax_number": "703-563-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLEY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "ALDERETES",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "571-919-5100"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superkids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristopher Jon Kaufman, M.D.
• Hanna Leigh Kavalsky, M.S., CF-SLP
• Kavana Behavioral Health LLC
• Daniel Dean Kawecki
• Kay Home Health Care Services LLC
• Aeliya Kazmi, M.D.
• Kazuko K Price MD LTD
• Jane Keady, LMSW/LGSW
• Mary Jane Kearney, CRNA
• Ayantu Kebede

• 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 Dec 8, 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.