Active NPI
Alice Chiu, DMD
- General Practice Dentistry
- Leesburg, VA
National Provider Identifier
1285021642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414491
- Practice address
- 2 Cardinal Park Dr
Suite 206a
Leesburg, VA 20175-4401 - Phone
- (703) 771-3389
- Fax
- (703) 771-8242
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401414491 | VA | Primary |
Addresses
Primary practice location
2 Cardinal Park Dr
Suite 206a
Leesburg, VA 20175-4401
Mailing address
13628 Lavender Mist LN
Centreville, VA 20120-2610
Phone (609) 457-2679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414491 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sue K Moon DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1285021642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13628 LAVENDER MIST LN",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201202610",
"telephone_number": "609-457-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CARDINAL PARK DR",
"address_2": "SUITE 206A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754401",
"telephone_number": "703-771-3389",
"fax_number": "703-771-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "ALICE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.