NPIMap

Organization Active NPI

Alpine Dental Care

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1306576418
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPINE DENTAL CARE
Practice address
9255 Old Keene Mill Rd
Burke, VA 22015-4202
Phone
(703) 455-0409
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Maryam AshraghiNPI 1508364977
Title
General Dentist
Phone
(508) 246-9093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9255 Old Keene Mill Rd
Burke, VA 22015-4202

Mailing address

1524 Lincoln Way Unit 433
MC Lean, VA 22102-5946
Phone (508) 246-9093

National Provider Directory

National Provider Directory

Locations

9255 Old Keene Mill Rd
Burke, VA 22015
Phone (703) 455-0409

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1306576418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 LINCOLN WAY UNIT 433",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025946",
            "telephone_number": "508-246-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154202",
            "telephone_number": "703-455-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "ASHRAGHI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "508-246-9093"
    },
    "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 Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.