Mala Ann Britto, D.D.S., M.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401410545 Issued in VA

Practice address

4080 Lafayette Center Dr
Suite 160B
Chantilly, VA 20151-1247

Phone

(703) 230-1000

Fax

(703) 230-0509

NPI assigned

Jul 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Mala a Britto DDS PC

  • Pediatric Dentistry
  • Chantilly, VA
  • NPI 1831360536
  NPD (past) Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386660769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "address_2": "SUITE 160B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511247",
            "telephone_number": "703-230-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "address_2": "SUITE 160B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511247",
            "telephone_number": "703-230-1000",
            "fax_number": "703-230-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTO",
        "first_name": "MALA",
        "middle_name": "ANN",
        "credential": "D.D.S., M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180684",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Bray-Mallin
• John William Breau Jr., R.N.
• Bright Light Consulting, LLC
• Diane Brisk
• Ajit Denis Britto, D.D.S., M.S.D.,
• Brivana Healthcare Services LLC
• Brivara DME LLC
• Ebone Shaneal Brogdon
• Sandra Brooks, LSATP
• Allison Brower, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.