Organization Active NPI

Deepak S Kakar DDS Inc

  • Pediatric Dentistry
  • Falls Church, VA
National Provider Identifier
1194034785
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401410573 Issued in VA
Legal business name
DEEPAK S KAKAR DDS INC
Doing business as
tysons pediatric dentistry and orthodontics
Practice address
7115 Leesburg Pike
Suite 210
Falls Church, VA 22043-2367
Phone
(703) 534-1611
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Ms. Amy E Styn
Title
Office Manager
Phone
(540) 786-0051

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401412252 VA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0401410573 VA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 0401007026 VA

Addresses

Primary practice location

7115 Leesburg Pike
Suite 210
Falls Church, VA 22043-2367

Mailing address

7115 Leesburg Pike
Suite 210
Falls Church, VA 22043-2367
Phone (703) 534-1611

Other identifiers 3

IdentifierTypeStateIssuer
155850911OtherVANPI DR ZUKAEY AL-LABABIDI
1174626717OtherVAPROVIDER NPI NUMBER
1710081195OtherVANPI NUMBER DR RICHARD BYRD

Other names 1

  • tysons pediatric dentistry and orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

7115 Leesburg Pike
Ste 210
Falls Church, VA 22043
Phone (703) 534-1611

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1194034785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE 210",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-534-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE 210",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-534-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK S KAKAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "STYN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-786-0051",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412252",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410573",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401007026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR ZUKAEY AL-LABABIDI",
            "identifier": "155850911",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1174626717",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER DR RICHARD BYRD",
            "identifier": "1710081195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tysons pediatric dentistry and orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.