Organization Active NPI

Smiley Du Dental

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1225374317
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413715 Issued in VA
Legal business name
SMILEY DU DENTAL
Practice address
3610 Forest Dr
Alexandria, VA 22302-1042
Phone
(703) 578-4221
Fax
(703) 578-1228
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Khanh Q Du, DMD
Title
Owner
Phone
(703) 578-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401413715 VA Primary

Addresses

Primary practice location

3610 Forest Dr
Alexandria, VA 22302-1042

Mailing address

3610 Forest Dr
Alexandria, VA 22302-1042
Phone (703) 578-4221

Other names 1

  • Dr. Khanh Dr, Family Dentistry Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1225374317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 FOREST DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021042",
            "telephone_number": "703-578-4221",
            "fax_number": "703-578-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 FOREST DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021042",
            "telephone_number": "703-578-4221",
            "fax_number": "703-578-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DU DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-578-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Khanh Dr, Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.