Organization Active NPI

Monica R DDS PLLC

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1346081254
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONICA R DDS PLLC
Doing business as
Perfect Sonrisa Dental Care
Practice address
11130 Fairfax Blvd Ste 100
Fairfax, VA 22030-5035
Phone
(571) 407-7030
Fax
(571) 407-5301
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dr. Monica Restrepo, DDSNPI 1396126827
Title
Dentist/Owner
Phone
(703) 463-8533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11130 Fairfax Blvd Ste 100
Fairfax, VA 22030-5035

Mailing address

11130 Fairfax Blvd Ste 100
Fairfax, VA 22030-5035
Phone (571) 407-7030

Other names 1

  • Perfect Sonrisa Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

11130 Fairfax Blvd
Ste 100
Fairfax, VA 22030
Phone (703) 865-5911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1346081254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305035",
            "telephone_number": "571-407-7030",
            "fax_number": "571-407-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305035",
            "telephone_number": "571-407-7030",
            "fax_number": "571-407-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA R DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "703-463-8533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Sonrisa Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.