Organization Active NPI

Tingting Zhu DMD LLC

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1356099105
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TINGTING ZHU DMD LLC
Practice address
3613 Chain Bridge Rd Ste a
Fairfax, VA 22030-3238
Phone
(703) 893-6680
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Tingting Zhu Freed, DMDNPI 1366603110
Title
Dentist/Owner
Phone
(703) 893-6680

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3613 Chain Bridge Rd Ste a
Fairfax, VA 22030-3238

Mailing address

3613 Chain Bridge Rd Ste a
Fairfax, VA 22030-3238
Phone (703) 893-6680

Other names 1

  • Fairfax Dental, Medical & Acupuncture Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@fairfaxtoothdoc.com Direct

National Provider Directory

National Provider Directory

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": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1356099105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 CHAIN BRIDGE RD STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303238",
            "telephone_number": "703-893-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 CHAIN BRIDGE RD STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303238",
            "telephone_number": "703-893-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINGTING ZHU DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "TINGTING",
        "authorized_official_middle_name": "ZHU",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "703-893-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@fairfaxtoothdoc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3613 Chain Bridge Rd Ste A",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220303238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fairfax Dental, Medical & Acupuncture",
            "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 Mar 11, 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.