Organization Active NPI

Gerson J Cuellar DDS PC

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1285153296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GERSON J CUELLAR DDS PC
Practice address
611 S Carlin Springs Rd
Arlington, VA 22204-1064
Phone
(703) 578-0166
NPI assigned
Sep 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gerson J CuellarNPI 1306969563
Title
President
Phone
(703) 578-0166

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

611 S Carlin Springs Rd
Arlington, VA 22204-1064

Mailing address

611 S Carlin Springs Rd
Arlington, VA 22204-1064
Phone (703) 578-0166

Other practice location 1

131 Elden St Ste 101
Herndon, VA 20170-4835
Phone (703) 481-1118

National Provider Directory

National Provider Directory

Locations

131 Elden St
Ste 101
Herndon, VA 20170
Phone (703) 481-1118

Practitioners & affiliated clinicians

Practitioners 1

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": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285153296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-578-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-578-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Elden St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704835",
            "country_code": "US",
            "telephone_number": "703-481-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERSON J CUELLAR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "GERSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-578-0166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.