Thomas G Vaccaro DDS,PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THOMAS G VACCARO DDS,PC

Practice address

11130 Fairfax Blvd Ste 201
Fairfax, VA 22030-5035

Phone

(703) 591-1007

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Gerard VaccaroNPI 1356482681

Title

President

Phone

(703) 591-1007

Specialties & licenses 1

Addresses

Other names 1

• Owner Other name

Locations

Practitioners 2

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

• Thomas Gerard Vaccaro, D.D.S.

  • Dentist
  • Fairfax, VA
  • NPI 1356482681
  NPD Authorized official
• Joanna Chen, DDS

  • Dentist
  • Fairfax, VA
  • NPI 1487586673
  NPD (past)

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1255103602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305035",
            "telephone_number": "703-591-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G VACCARO DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-591-1007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Therapy Cafe LLC
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• Taryn C Thibeault, FNP
• Kathleen Thibodeau
• Laura Kristin Thieman, MSW, LCSW
• Thomas M. Fogarty MD PC
• Abigail Thomas, MSW
• Chyree Thomas, MD
• Ernestine Augusta Thomas, M.D.
• Glenda Thomas, DNP-FNP

• Dentist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.