Dental One Associates South Riding PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ONE ASSOCIATES SOUTH RIDING PC

Practice address

25055 Riding PLZ
270
Chantilly, VA 20152-5917

Phone

(703) 491-4489

NPI assigned

Jul 4, 2008

Last updated

Oct 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

Insurance Director

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1265695712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ",
            "address_2": "270",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ",
            "address_2": "270",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525917",
            "telephone_number": "703-491-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE ASSOCIATES SOUTH RIDING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-04",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Dear, NP
• Gabriella Degucz
• Marilaine Deguia, CNS
• Celestina Nikoln Carrasco Dela Paz, RDH
• Leilani Dellinger
• Dental Professionals of Virginia, P.C. (Gum Springs Dental Care)
• Teresa Denton
• Sanaz Derakhshan
• Dermatology Associates of Northern Virginia
• Derocco Health and Wellness Inc (Premier Birth Center Chantilly)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.