Mina Dadkhah DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412045 Issued in VA

Legal business name

MINA DADKHAH DDS, PLLC

Doing business as

SmilevilleKids

Practice address

46165 Westlake Dr
Suite 200
Sterling, VA 20165-5872

Phone

(650) 450-2320

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mina Dadkhah, DDS

Title

Owner

Phone

(650) 450-2320

Specialties & licenses 1

Addresses

Other names 1

• SmilevilleKids Doing business as

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1245667922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 PIMMIT DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "650-450-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA DADKHAH DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "DADKHAH",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-450-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmilevilleKids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Michael Miller, L.C.S.W
• Keysha Miller, MSW
• Rachel Sophia Miller
• Christopher Millikan, PT
• Rebecca Min
• Mina Modaresi DDS PC (Regal Dental Care)
• Anshul Misra
• Mitnick & Herbst, PC
• Howard M Mitnick Jr., DDS
• MJ 247 Care Services LLC

• Dental Clinic/Center in Sterling, VA
• Providers in Sterling, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.