Kingstowne Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KINGSTOWNE PEDIATRIC DENTISTRY, PLLC

Practice address

7025D Manchester Blvd
Alexandria, VA 22310-3227

Phone

(646) 912-8726

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

My Tran, D.D.S

Title

Partner

Phone

(646) 912-8726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1356696850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 PENCE CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031426",
            "telephone_number": "646-912-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025D MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103227",
            "telephone_number": "646-912-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTOWNE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "646-912-8726",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kings Crossing Optometry, LLC
• Kings Medical Transportation Incorported
• Kristin Kingsley
• Kingstowne Dental Care PC
• Kingstowne Dental Specialists Ortho LLC
• Lameka Kirk
• Margaret Suzanne Kirk, LPC
• Denise Kirkley-Cain
• Alfred J Kirkwood, D.O.
• Annamarie Isabel Kirscht

• Pediatric Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.