Active NPI
Rolling Valley Dental PLC
- General Practice Dentistry
- Springfield, VA
National Provider Identifier
1326476300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401413633
- Legal business name
- ROLLING VALLEY DENTAL PLC
- Practice address
- 6373 Trips Way
Springfield, VA 22150-1181 - Phone
- (954) 667-8136
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faisal Elhussein, DMD
- Title
- Dentist
- Phone
- (954) 667-8136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413633 | VA | Primary |
Addresses
Primary practice location
6373 Trips Way
Springfield, VA 22150-1181
Mailing address
6405 Shiplett Blvd
Burke, VA 22015-3446
National Provider Directory
National Provider DirectoryLocations
6405 Shiplett Blvd
Burke, VA 22015
Phone (703) 455-5466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1326476300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 SHIPLETT BLVD",
"city": "BURKE",
"state": "VA",
"postal_code": "220153446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6373 TRIPS WAY",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501181",
"telephone_number": "954-667-8136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLLING VALLEY DENTAL PLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "ELHUSSEIN",
"authorized_official_first_name": "FAISAL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "954-667-8136",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.