Karis Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411122 Issued in VA

Legal business name

KARIS DENTAL, PLLC

Practice address

4290 Chain Bridge Rd
Suite #202
Fairfax, VA 22030-8157

Phone

(703) 828-6630

Fax

(888) 636-8702

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles H. Park, DDSNPI 1639140023

Title

Dentist

Phone

(703) 853-0415

Specialties & licenses 1

Addresses

Other names 1

• Karis Dental 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.

• Charles Hee Yong Park, DDS

  • Dentist
  • Fairfax, VA
  • NPI 1639140023
  NPD (past) Authorized official

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1326595083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 CHAIN BRIDGE RD",
            "address_2": "SUITE #202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308157",
            "telephone_number": "703-828-6630",
            "fax_number": "888-636-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 CHAIN BRIDGE RD",
            "address_2": "SUITE #202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308157",
            "telephone_number": "703-828-6630",
            "fax_number": "888-636-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-853-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeenal Kapur, ED.S
• Kara Counseling, LLC
• Karen R Maser MD LLC
• Saghar Kargar
• Karim Counseling Services PLLC
• Rupa Karki
• Pnina Dalya Karlin, CF-SLP
• Karma Care LLC
• Komal S. Karmacharya, D.D.S.
• Jenny Karmen

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 Sep 9, 2016; 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.