Kevin Mendes, D.D.S. & Associates, P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401401782 Issued in VA

Legal business name

KEVIN MENDES, D.D.S. & ASSOCIATES, P.L.L.C.

Practice address

8404 Dorsey Cir
Manassas, VA 20110-4592

Phone

(703) 368-4725

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Kevin C Mendes, D.D.S.

Title

Owner

Phone

(703) 368-4725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1316210792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 DORSEY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104592",
            "telephone_number": "703-368-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 DORSEY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104592",
            "telephone_number": "703-368-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MENDES, D.D.S. & ASSOCIATES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-368-4725",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401401782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kennedy, ANP
• Bianca Kenyon, M.D.
• Jennifer Kernicky, PTA
• Isabelle Kessler, RBT
• Troy Kessler
• Nina Khachiyants, MD
• Fariha Khan
• Farihah Khan
• Khushboo Khan, PA
• Mumina Khan, BCBA, LBA

• General Practice Dentistry in Manassas, VA
• Providers in Manassas, 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 Feb 16, 2012; 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.