Individual provider Active NPI

Quyen Dang, D.D.S

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1215094412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410698 Issued in VA
Practice address
8303 Arlington Blvd Ste 107
Fairfax, VA 22031-2903
Phone
(703) 573-1313
Fax
(703) 573-6180
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410698 VA Primary

Addresses

Primary practice location

8303 Arlington Blvd Ste 107
Fairfax, VA 22031-2903

Mailing address

8303 Arlington Blvd Ste 107
Fairfax, VA 22031-2903
Phone (703) 573-1313

Other identifiers 1

IdentifierTypeStateIssuer
0401410698OtherVALICIENCE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401410698VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Corporation General Practice Past Accepting new patients
Optimal Dental Center, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215094412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 107",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-1313",
            "fax_number": "703-573-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 107",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-1313",
            "fax_number": "703-573-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "QUYEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICIENCE #",
            "identifier": "0401410698",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.