Kingstowne Dental Specialists Ortho LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KINGSTOWNE DENTAL SPECIALISTS ORTHO LLC

Practice address

5911 Kingstowne Village Pkwy Ste 150
Alexandria, VA 22315-4644

Phone

(703) 493-0622

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Marzban, DDS MDSNPI 1053503151

Title

Orthodontist

Phone

(703) 408-2868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Babak Marzban, DDS MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • MC Lean, VA
  • NPI 1053503151
  NPD Authorized official

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1326759853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 KINGSTOWNE VILLAGE PKWY STE 150",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154644",
            "telephone_number": "703-493-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 KINGSTOWNE VILLAGE PKWY STE 150",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154644",
            "telephone_number": "703-493-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTOWNE DENTAL SPECIALISTS ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "MARZBAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "703-408-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharleen King, LCSW
• Kings Crossing Optometry, LLC
• Kings Medical Transportation Incorported
• Kristin Kingsley
• Kingstowne Dental Care PC
• Kingstowne Pediatric Dentistry, PLLC
• Lameka Kirk
• Margaret Suzanne Kirk, LPC
• Denise Kirkley-Cain
• Alfred J Kirkwood, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.