GD VA West Springfield PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD VA WEST SPRINGFIELD PLLC

Doing business as

West Springfield Dental Arts

Practice address

6116 Rolling Rd Ste 316
Springfield, VA 22152-1512

Phone

(703) 451-8332

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• West Springfield Dental Arts Doing business as

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1235874090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD STE 316",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521512",
            "telephone_number": "703-451-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD STE 316",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521512",
            "telephone_number": "703-451-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD VA WEST SPRINGFIELD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Springfield Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard E Gardner, M.D.
• Brittany Garvin, OTR/L
• Samantha Gaston, RBT
• Gloria Gaudio Cilke, OT
• Josinelle Morales Gavino, PT
• Lindsey Christine Geary, PHARMD
• Tsion A Gebresellasie, DNP, FNP
• Semhar Gelawdiwos
• Steven Matthew Gentile, O.D.
• Gentlehands Home Care LLC

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.