Dental Center of Merrifield Inc

Primary specialty

DentistTaxonomy code 122300000X

License

401102428 Issued in VA

Legal business name

DENTAL CENTER OF MERRIFIELD INC

Practice address

2841 Hartland Rd
Suite 202
Falls Church, VA 22043-3500

Phone

(703) 663-8859

Fax

(703) 663-8138

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Kenneth Qiu

Title

Owner

Phone

(703) 798-3964

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1396020848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD.",
            "address_2": "SUITE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22043",
            "telephone_number": "703-663-8859",
            "fax_number": "703-663-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD",
            "address_2": "SUITE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-663-8859",
            "fax_number": "703-663-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF MERRIFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "QIU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-798-3964"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "401102428",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "401411116",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "401412557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Denkler, M.D.
• Roger A Denney, MD
• Dentacrafters
• Dental Associates
• Dental Associates of Northern Virginia PLLC
• Dental Health Center of Northern Virginia
• Dental Professionals of Virginia, P.C
• Dentists of East Falls Church, PC
• Nathalie Depastas, LIC.AC, LMT
• Susan Elizabeth Deren, M.D.

• Dentist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.