Centreville Dental Wellness Center,PC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006027 Issued in VA

Legal business name

CENTREVILLE DENTAL WELLNESS CENTER,PC.

Practice address

14245F Centreville SQ
Centreville, VA 20121-2368

Phone

(703) 815-0775

Fax

(703) 222-7557

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rena Vakay, DDS

Title

President

Phone

(703) 815-0775

Specialties & licenses 1

Addresses

Other names 1

• Centreville Dental Wellness Center Doing business as

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1285914796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14245F CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212368",
            "telephone_number": "703-815-0775",
            "fax_number": "703-222-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14245F CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212368",
            "telephone_number": "703-815-0775",
            "fax_number": "703-222-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREVILLE DENTAL WELLNESS CENTER,PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "VAKAY",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-815-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centreville Dental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Elizabeth Sims, LLC
• Center for Asymmetric Emergency Medicine and Training Services, Inc
• Center for Specialty Care, PLC
• Centreville Children'S Dentistry, PC
• Centreville Chiropractic Center
• Centreville Family Chiropractic
• Centreville Family Practice
• Centreville Internal Medicine
• Centreville Medical Practice PLLC
• Centreville Optometry, LLC

• General Practice Dentistry in Centreville, VA
• Providers in Centreville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.