Herndon Smile Design PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERNDON SMILE DESIGN PLLC

Practice address

504 Elden St
Herndon, VA 20170-4741

Phone

(703) 464-0000

Fax

(703) 464-0066

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Debbie Thorpe

Title

Credentialing Specialist

Phone

(410) 409-9202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1407484066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704741",
            "telephone_number": "703-464-0000",
            "fax_number": "703-464-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704741",
            "telephone_number": "703-464-0000",
            "fax_number": "703-464-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON SMILE DESIGN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-409-9202"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herndon Chiropractic & Acupuncture Care, PC
• Herndon Dental Arts at Woodland Park, PLLC (Dumfries Dental Arts)
• Herndon Dental Care
• Herndon Family Dental PLLC (Elden Family Dental)
• Herndon Pharmacy and Medical Supply Inc
• Herndon Walking Smiles
• Hero Pediatric Dentistry PLLC
• Columbia Herzlinger, OD
• Michelle Womach Hewlett, FNP-C
• Alelia Paige Higgenbottom, LPC-MHSP

• General Practice Dentistry in Herndon, VA
• Providers in Herndon, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.