NPIMap

Organization Active NPI

Dominion Plastic Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Falls Church, VA
National Provider Identifier
1346009776
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
DOMINION PLASTIC SURGERY LLC
Practice address
2755 Hartland Rd Ste 300
Falls Church, VA 22043-3545
Phone
(703) 884-2399
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mr. Daniel Glynn
Title
Counsel
Phone
(703) 884-2399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

2755 Hartland Rd Ste 300
Falls Church, VA 22043-3545

Mailing address

2755 Hartland Rd Ste 300
Falls Church, VA 22043-3545
Phone (703) 884-2399

Other names 1

  • Dominion Plastic Surgery Surgical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dominion Plastic Surgery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1346009776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433545",
            "telephone_number": "703-884-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433545",
            "telephone_number": "703-884-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COUNSEL",
        "authorized_official_telephone_number": "703-884-2399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominion Plastic Surgery Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.