Valdiviasmiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALDIVIASMILES

Practice address

9554 Old Keene Mill Rd Ste C
Burke, VA 22015-4287

Phone

(703) 952-4003

Fax

(571) 281-0001

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Waldo ValdiviaNPI 1063816163

Title

Dentist

Phone

(703) 952-4003

Specialties & licenses 1

Addresses

Other names 1

• FamiDental Doing business as

Locations

Practitioners 1

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

• Waldo Oliver Valdivia, DDS

  • General Practice Dentistry
  • Burke, VA
  • NPI 1063816163
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1306628482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9554 OLD KEENE MILL RD STE C",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154287",
            "telephone_number": "703-952-4003",
            "fax_number": "571-281-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9554 OLD KEENE MILL RD STE C",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154287",
            "telephone_number": "703-952-4003",
            "fax_number": "571-281-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDIVIASMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "WALDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-952-4003",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamiDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ultimate Keepers Home Care
• Ultimate Keepers Home Care, Inc.
• Mariam Usman, FNP-BC
• Maryann Valcourt, CPNP-BC
• Waldo Oliver Valdivia, DDS
• Valor Village Foundation Inc
• Melissa Rafferty Van Scoy, PHD
• Catherine Van Wert
• Christel Velasco-Guidry, MD
• Kathryn Verber, RN

• General Practice Dentistry in Burke, VA
• Providers in Burke, 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 Oct 16, 2023; 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.