NPIMap

Organization Active NPI

Chad Kasperowski, DMD, PLC

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1255634788
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
411416 Issued in VA
Legal business name
CHAD KASPEROWSKI, DMD, PLC
Practice address
11200 Lee Hwy
Fairfax, VA 22030-5045
Phone
(703) 591-5637
Fax
(703) 591-7934
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Chad Alan Kasperowski, D.M.D.NPI 1801870928
Title
Dentist
Phone
(703) 591-5637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 411416 VA Primary

Addresses

Primary practice location

11200 Lee Hwy
Fairfax, VA 22030-5045

Mailing address

11200 Lee Hwy
Fairfax, VA 22030-5045
Phone (703) 591-5637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1255634788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305045",
            "telephone_number": "703-591-5637",
            "fax_number": "703-591-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305045",
            "telephone_number": "703-591-5637",
            "fax_number": "703-591-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD KASPEROWSKI, DMD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "KASPEROWSKI",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-591-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "411416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.