Individual provider Active NPI

Vivek Vij, D.D.S.

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1407298706
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414100 Issued in VA
Practice address
5765-M Burke Centre Pkwy
Burke, VA 22015-2264
Phone
(703) 459-9495
NPI assigned
Jul 27, 2013
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1001297 DC
General Practice Dentistry 1223G0001X 0401414100 VA Primary

Addresses

Primary practice location

5765-M Burke Centre Pkwy
Burke, VA 22015-2264

Mailing address

6015 Leewood Dr
Alexandria, VA 22310-1917
Phone (703) 313-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001297DCMDDentist
0401414100VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
SV Smiles PLLC General Practice CurrentSince Sep 23, 2024 Accepting new patients
Vij Smiles PLLC General Practice CurrentSince Apr 6, 2023 Accepting new patients

Locations

5765 Burke Centre Pkwy
Ste M
Burke, VA 22015
Phone (703) 459-9495

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1407298706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 LEEWOOD DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101917",
            "telephone_number": "703-313-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765-M BURKE CENTRE PKWY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152264",
            "telephone_number": "703-459-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJ",
        "first_name": "VIVEK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-27",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001297",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.