V Care Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412006 Issued in VA

Legal business name

V CARE DENTAL

Practice address

14631 Lee Hwy
117
Centreville, VA 20121-5824

Phone

(703) 815-0007

Fax

(703) 815-0008

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Man Shu, DDS

Title

Dentist

Phone

(703) 815-0007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1366735235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 LEE HWY",
            "address_2": "117",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215824",
            "telephone_number": "703-815-0007",
            "fax_number": "703-815-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 LEE HWY",
            "address_2": "117",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215824",
            "telephone_number": "703-815-0007",
            "fax_number": "703-815-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V CARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "SHU",
        "authorized_official_first_name": "MAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-815-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9219161",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Centreville, VA
• Providers in Centreville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.