Organization Active NPI

Faisal Mir, DDS, PLLC

  • Dentist
  • Washington, DC
National Provider Identifier
1235503764
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001432 Issued in DC
Legal business name
FAISAL MIR, DDS, PLLC
Doing business as
SMILE DENTAL PC
Practice address
2108 18TH St NW
Suite 1
Washington, DC 20009-1891
Phone
(202) 234-8991
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Faisal Mir, DDS
Title
President
Phone
(202) 234-8998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DEN1001432 DC Primary

Addresses

Primary practice location

2108 18TH St NW
Suite 1
Washington, DC 20009-1891

Mailing address

2200 Columbia Pike
Apt 710
Arlington, VA 22204-4432
Phone (571) 278-7070

Other identifiers 1

IdentifierTypeStateIssuer
1952701476MedicaidDC

Other names 1

  • SMILE DENTAL PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1235503764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLUMBIA PIKE",
            "address_2": "APT 710",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044432",
            "telephone_number": "571-278-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 18TH ST NW",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091891",
            "telephone_number": "202-234-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISAL MIR, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MIR",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-234-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952701476",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE DENTAL PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.