NPIMap

Organization Active NPI

Dr Kallas Dental Center PLC

  • Dentist
  • Vienna, VA
National Provider Identifier
1215361712
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR KALLAS DENTAL CENTER PLC
Practice address
8310 Old Courthouse Rd
Suite C
Vienna, VA 22182-3872
Phone
(703) 356-0110
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Geith KallasNPI 1801121082
Title
President
Phone
(703) 622-3300

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8310 Old Courthouse Rd
Suite C
Vienna, VA 22182-3872

Mailing address

8310 Old Courthouse Rd
Suite C
Vienna, VA 22182-3872

National Provider Directory

National Provider Directory

Locations

8310 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 356-0110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1215361712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD",
            "address_2": "SUITE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD",
            "address_2": "SUITE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872",
            "telephone_number": "703-356-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KALLAS DENTAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2023-08-23",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "GEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-622-3300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.