Dr Jaw, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DR JAW, PLLC

Practice address

4210 Fairfax Corner Ave W Ste 201a
Fairfax, VA 22030-8619

Phone

(540) 225-2259

Fax

(540) 225-2253

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Paula Kriegh

Title

Practice Manager

Phone

(540) 225-2259

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greater Washington Oral and Maxillofacial Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim M. Haron, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fredericksburg, VA
  • NPI 1871804781
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1396486940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER AVE W STE 201A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308619",
            "telephone_number": "540-225-2259",
            "fax_number": "540-225-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER AVE W STE 201A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308619",
            "telephone_number": "540-225-2259",
            "fax_number": "540-225-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KRIEGH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-225-2259"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401414186",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Washington Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roseanne M. Downward, OTD, OTR/L
• Deborah Joan Doyle, M.D.
• Katherine Mary Doyle
• Nicole Doyle, M.D./PH.D.
• Dr Bushra Bhatti DMD LLC
• Dr Timothy Golian DDS PC
• Dr. Arun K Gupta, PC
• Dr. Jaklin Bezik & Associates
• Dr. Megan Chavez Tomlinson PLLC
• Dr. Paul H. Rhyu D.C.,O.M.D,PC

• Oral and Maxillofacial Surgery (Dentist) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.