Charles a Nardiello, D.M.D.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARLES A NARDIELLO, D.M.D.,P.C.

Practice address

11200 Lee Hwy
Fairfax, VA 22030-5045

Phone

(703) 591-5637

Fax

(703) 591-7934

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles A. Nardiello, D.M.D.NPI 1497883185

Title

President

Phone

(703) 591-5637

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles A Nardiello, DMD

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1497883185
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417085135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305045",
            "telephone_number": "703-591-5637",
            "fax_number": "703-591-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305045",
            "telephone_number": "703-591-5637",
            "fax_number": "703-591-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A NARDIELLO, D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NARDIELLO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-591-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobias Robert Chapman, M.D.
• Christine F. Chappell, P.T.
• Shannon Charest
• Charis Grace Health Care Services Inc.
• Lania Charity
• Charles D, Kirksey, DDS, LLC
• Danietta Charles, LPC
• Anthony Charmforoush, M.D.
• Hernan Dane Charneco, PH.D.
• Rebecca Hill Charneco, PH.D.

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 Aug 22, 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.