Gauri Pande, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401415323 Issued in VA

Practice address

25401 Eastern Marketplace PLZ
Suite 165
Chantilly, VA 20152-5782

Phone

(217) 540-5100

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Professionals of Virginia, P.C.

  dba Catoctin Corner Dentistry

  • General Practice Dentistry
  • Purcellville, VA
  • NPI 1285146480
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1386197630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 EASTERN MARKETPLACE PLZ",
            "address_2": "SUITE 165",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525782",
            "telephone_number": "217-540-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 EASTERN MARKETPLACE PLZ",
            "address_2": "SUITE 165",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525782",
            "telephone_number": "217-540-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDE",
        "first_name": "GAURI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Alden Page, B.S., D.C
• Alyssa Paik, PHYSICIAN ASSISTANT
• Ryan Palmer
• Palmercare Chiropractic Chantilly LLC
• Qiulu Pan
• Ella Panning
• Kiley Papcun, OTR
• Dong S Park, DDS
• Hyekyong Park, PHARMACIST
• Hyesin Park

• Dentist in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.