Organization Active NPI

Rolling Valley Dental PLC

  • General Practice Dentistry
  • Springfield, VA
National Provider Identifier
1326476300
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413633 Issued in VA
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

Updated by the provider on Oct 29, 2013

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.