NPIMap

Organization Active NPI

Beyond Dental PLLC

  • Dentist
  • Alexandria, VA
National Provider Identifier
1225819717
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BEYOND DENTAL PLLC
Practice address
2435 Mandeville Lane, Suite 230
Alexandria, VA 22332
Phone
(808) 748-9608
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Joosang LeeNPI 1285089367
Title
Owner
Phone
(808) 748-9608

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

2435 Mandeville Lane, Suite 230
Alexandria, VA 22332

Mailing address

2424 Mill Rd Apt 1002
Alexandria, VA 22314-5040
Phone (808) 748-9608

National Provider Directory

National Provider Directory

Locations

2435 Mandeville Ln
Ste 230
Alexandria, VA 22314
Phone (571) 398-0023

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1225819717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MILL RD APT 1002",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145040",
            "telephone_number": "808-748-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 MANDEVILLE LANE, SUITE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22332",
            "telephone_number": "808-748-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOOSANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-748-9608"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 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.