NPIMap

Organization Active NPI

Director of Finance-County of Fairfax VA

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1174558258
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Practice address
10777 Main St
Suite 202
Fairfax, VA 22030-6903
Phone
(703) 246-8695
NPI assigned
Jul 11, 2006
Organization subpart
Yes
Parent organization
COUNTY OF FAIRFAX, VIRGINIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Anthony Griffin
Title
County Executive
Phone
(703) 324-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X VA Primary

Addresses

Primary practice location

10777 Main St
Suite 202
Fairfax, VA 22030-6903

Mailing address

12000 Government Center Pkwy
Suite 552
Fairfax, VA 22035-0001
Phone (703) 324-3360

Other identifiers 3

IdentifierTypeStateIssuer
8450251MedicaidVA
8451231MedicaidVA
8451249MedicaidVA

Other names 1

  • Fairfax County Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairfax County Virginia6 organizations share this tax ID, including this one
Part of
Fairfax County Virginia

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12000 Government Center Pkwy
Ste 552
Fairfax, VA 22035

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1174558258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 GOVERNMENT CENTER PKWY",
            "address_2": "SUITE 552",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220350001",
            "telephone_number": "703-324-3360",
            "fax_number": "703-324-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 MAIN ST",
            "address_2": "SUITE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306903",
            "telephone_number": "703-246-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF FAIRFAX, VIRGINIA",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COUNTY EXECUTIVE",
        "authorized_official_telephone_number": "703-324-3360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8450251",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8451231",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8451249",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax County Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.