Integrative Implant Services, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

040142450 Issued in VA

Legal business name

INTEGRATIVE IMPLANT SERVICES, LLC

Practice address

6845 Elm. St.
Ste. 225
McLean, VA 22102-3834

Phone

(703) 388-2889

Fax

(703) 388-0669

NPI assigned

Apr 24, 2015

Organization subpart

Yes

Parent organization

INTEGRATIVE ORAL SURGEONS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Leuxs Carroll, MD, DMD

Title

Owner

Phone

(703) 388-2889

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ziad A. Ali, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • MC Lean, VA
  • NPI 1730386871
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1225425465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM. STREET",
            "address_2": "SUITE 225",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013834",
            "telephone_number": "703-388-2889",
            "fax_number": "703-388-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM. ST.",
            "address_2": "STE. 225",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023834",
            "telephone_number": "703-388-2889",
            "fax_number": "703-388-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE IMPLANT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE ORAL SURGEONS, LLC",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LEUXS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-388-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "040142450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Health Care, LLC
• Allen B Horne, M.D
• Kimberly Ann Hoskins, PSY.D.
• Cilicia Hufano
• Steven S Hughes, MD
• Fuad Issa, MD
• Phyllis Jacobson Kram, LCSW
• James T. Planicka, DDS, PC
• C. Isabel Jander, MD
• Marsha Renee Jespersen, MD

• Oral and Maxillofacial Surgery Clinic/Center in McLean, VA
• Providers in McLean, VA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.