Individual provider Active NPI

Thien Dao, D.M.D.

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1295033173
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412862 Issued in VA
Practice address
5960 Kingstowne Towne Ctr
Suite 140
Alexandria, VA 22315-5896
Phone
(703) 719-9210
Fax
(703) 719-6330
NPI assigned
Mar 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412862 VA Primary

Addresses

Primary practice location

5960 Kingstowne Towne Ctr
Suite 140
Alexandria, VA 22315-5896

Mailing address

5960 Kingstowne Towne Ctr
Suite 140
Alexandria, VA 22315-5896
Phone (703) 719-9210

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

LicenseStateTypeSpecialty
0401412862VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1295033173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 KINGSTOWNE TOWNE CTR",
            "address_2": "SUITE 140",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155896",
            "telephone_number": "703-719-9210",
            "fax_number": "703-719-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 KINGSTOWNE TOWNE CTR",
            "address_2": "SUITE 140",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155896",
            "telephone_number": "703-719-9210",
            "fax_number": "703-719-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "THIEN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.