J. Brian Queen, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007661 Issued in VA

Legal business name

J. BRIAN QUEEN, DDS, PC

Practice address

102 Elden St
Suite 20
Herndon, VA 20170-4868

Phone

(703) 689-2480

Fax

(703) 689-2482

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. J. Brian Queen, DDS

Title

Owner/Dentist

Phone

(703) 689-2480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jay Brian Queen, DDS

  • Dentist
  • Herndon, VA
  • NPI 1801291521
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1174508196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE 20",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-689-2480",
            "fax_number": "703-689-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE 20",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-689-2480",
            "fax_number": "703-689-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BRIAN QUEEN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-689-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Herndon, VA
• Providers in Herndon, 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 Feb 6, 2014; 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.