NPIMap

Organization Active NPI

Optimum Dental

  • Dental Clinic/Center
  • Falls Church, VA
National Provider Identifier
1194108332
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OPTIMUM DENTAL
Practice address
7389 Lee Hwy
Ste. #101
Falls Church, VA 22042-1736
Phone
(703) 468-4437
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Chelsea Lynn Balderson, DDSNPI 1881027084
Title
General Dentist/Owner
Phone
(571) 765-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7389 Lee Hwy
Ste. #101
Falls Church, VA 22042-1736

Mailing address

7389 Lee Hwy
Ste. #101
Falls Church, VA 22042-1736
Phone (703) 468-4437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1194108332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7389 LEE HWY",
            "address_2": "STE. #101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421736",
            "telephone_number": "703-468-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7389 LEE HWY",
            "address_2": "STE. #101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421736",
            "telephone_number": "703-468-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "BALDERSON",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "571-765-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 7, 2015; 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.