Pediatric Dentistry of Tysons Corner

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

401412085 Issued in VA

Legal business name

PEDIATRIC DENTISTRY OF TYSONS CORNER

Practice address

2038 Meadow Springs Dr
Vienna, VA 22182-3771

Phone

(703) 349-9038

NPI assigned

Jul 18, 2008

Last updated

Jul 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Lin Baveja, D.D.S

Title

Pediatric Dentist

Phone

(703) 349-9038

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1326203381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8296 OLD COURTHOUSE RD STE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 MEADOW SPRINGS DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823771",
            "telephone_number": "703-349-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF TYSONS CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "BAVEJA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-349-9038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "401412085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kianna Payne, RBT
• Peaceful Place
• Pearbrite Dental Inc. (pearlbrite dental)
• Cynthia Pearson, CYNTHIA PEARSON, LAC
• Nathlie Pearson
• Pediatric Therapy Studio
• Pediatric Therapy Studio
• Pediatric Therapy Studio
• Diego Pena
• May Lu Peng, CPNP-PC

• Pediatric Dentistry in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.