NPIMap

Organization Active NPI

Skyline Dental P.C.

Doing business as Family Dental Center of Tysons, P.C

  • General Practice Dentistry
  • Dunn Loring, VA
National Provider Identifier
1205560802
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SKYLINE DENTAL P.C.
Doing business as
Family Dental Center of Tysons, P.C
Practice address
2136 Gallows Rd #B
Dunn Loring, VA 22027
Phone
(703) 698-5400
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Dr. Kin Lui, DMD
Title
President
Phone
(703) 698-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2136 Gallows Rd #B
Dunn Loring, VA 22027

Mailing address

2136 Gallows Rd #B
Dunn Loring, VA 22027
Phone (703) 698-5400

Other names 1

  • Family Dental Center of Tysons, P.C Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1205560802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD #B",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "22027",
            "telephone_number": "703-698-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD #B",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "22027",
            "telephone_number": "703-698-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "LUI",
        "authorized_official_first_name": "KIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-698-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center of Tysons, P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunn Loring, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.