Kevin James Salinas, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEVIN JAMES SALINAS, DDS, PC

Doing business as

My Woodbridge Dental

Practice address

4893 Prince William Pkwy Ste 101
Woodbridge, VA 22192-5404

Phone

(703) 494-2226

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kevin James Salinas, DDSNPI 1356902720

Title

Owner/ President

Phone

(202) 230-2579

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• My Woodbridge Dental Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin James Salinas, DDS

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1356902720
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1295343739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13175 MARINA WAY APT 509",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911277",
            "telephone_number": "202-230-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 PRINCE WILLIAM PKWY STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925404",
            "telephone_number": "703-494-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN JAMES SALINAS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "202-230-2579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DENTAL LICENSE",
            "identifier": "0401416542",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kevin.j.salinas.dds@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "gmail",
            "address_1": "4893 Prince William Pkwy Ste 101",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221925404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Woodbridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, 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 Jul 30, 2020; 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.