Active NPI
Carlos Hernando Monsalve, D.D.S.
- Pediatric Dentistry
- Herndon, VA
National Provider Identifier
1336248178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401411273
- Practice address
- 13320 Franklin Farm Rd Ste F
Herndon, VA 20171-4097 - Phone
- (703) 481-1115
- Fax
- (703) 481-1246
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN15790 | FL | |
| Pediatric Dentistry | 1223P0221X | 0401411273 | VA | Primary |
Addresses
Primary practice location
13320 Franklin Farm Rd Ste F
Herndon, VA 20171-4097
Mailing address
13320 Franklin Farm Rd Ste F
Herndon, VA 20171-4097
Phone (703) 481-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15790 | FL | MD | Pediatric Dentist |
| 0401411273 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos H Monsalve, DDS,PC. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Herndon, VA
- NPI 1598144933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1336248178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13320 FRANKLIN FARM RD STE F",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714097",
"telephone_number": "703-481-1115",
"fax_number": "703-481-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13320 FRANKLIN FARM RD STE F",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714097",
"telephone_number": "703-481-1115",
"fax_number": "703-481-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSALVE",
"first_name": "CARLOS",
"middle_name": "HERNANDO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN15790",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401411273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.