Individual provider Active NPI

Tony Chehade

  • General Practice Dentistry
  • Gainesville, VA
National Provider Identifier
1336158963
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007755 Issued in VA
Practice address
7521 Virginia Oaks Dr Ste 230
Gainesville, VA 20155-3831
Phone
(703) 754-7151
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041007755 VA
General Practice Dentistry 1223G0001X 0401007755 VA Primary

Addresses

Primary practice location

7521 Virginia Oaks Dr Ste 230
Gainesville, VA 20155-3831

Mailing address

8027 Merry Oaks CT
Vienna, VA 22182-4029
Phone (703) 748-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000947 VA Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 0345408498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007755VAMDGeneral Practice Dentistry
041007755VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1336158963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 MERRY OAKS CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824029",
            "telephone_number": "703-748-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 VIRGINIA OAKS DR STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553831",
            "telephone_number": "703-754-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEHADE",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "041007755",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.