NPIMap

Organization Active NPI

Heartland Dental Care of Virginia, P.C. (Fka Miller DDS, PC)

Doing business as Dulles Family Dental Care

  • General Practice Dentistry
  • Dulles, VA
National Provider Identifier
1295973105
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)
Doing business as
Dulles Family Dental Care
Practice address
23520 Overland Dr Ste 134
Dulles, VA 20166-2197
Phone
(703) 661-3660
Fax
(703) 661-3663
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Kelli Walker
Title
Insurance/Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

23520 Overland Dr Ste 134
Dulles, VA 20166-2197

Mailing address

23520 Overland Dr Ste 134
Dulles, VA 20166-2197
Phone (703) 661-3660

Other names 1

  • Dulles Family Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miller DDS PC69 organizations share this tax ID, including this one
Part of
Miller DDS PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

23520 Overland Dr
Ste 134
Dulles, VA 20166
Phone (703) 661-3360

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1295973105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23520 OVERLAND DR STE 134",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662197",
            "telephone_number": "703-661-3660",
            "fax_number": "703-661-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23520 OVERLAND DR STE 134",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662197",
            "telephone_number": "703-661-3660",
            "fax_number": "703-661-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dulles Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dulles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.