Gena Rhea Neidert, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401411839 Issued in VA

Practice address

12701 Marblestone Dr Ste 260
Woodbridge, VA 22192-8326

Phone

(703) 670-2114

NPI assigned

Dec 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Su-En C Thlick, DMD

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1023207792
  NPD (past)

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1225367154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARROLL DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225545339",
            "telephone_number": "571-213-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 MARBLESTONE DR STE 260",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928326",
            "telephone_number": "703-670-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERT",
        "first_name": "GENA",
        "middle_name": "RHEA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Ndille
• Marceline Ndo
• Corine Ndomena
• Neibauer Dental Care, PC
• Neibauer Dental Care, PC
• Ghassem A Nejad, MD
• Joann M Nelson, L.P.C.; L.M.H.C.
• John Michael Nelson, DDS
• Thuy Nelson, LPC
• Toinette Neube

• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.