K&M Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

K&M DENTISTRY PLLC

Practice address

8316 Arlington Blvd Ste 305
Fairfax, VA 22031-5216

Phone

(857) 654-0359

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By 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. Hisham Essam a Merdad, DDSNPI 1144656356

Title

Member

Phone

(857) 654-0359

Specialties & licenses 2

Addresses

Locations

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.

• Hisham Essam a Merdad, B.D.S., D.SC.D

  • Pediatric Dentistry
  • Falls Church, VA
  • NPI 1144656356
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1427737295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 CLARENDON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012914",
            "telephone_number": "857-654-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD STE 305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "857-654-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&M DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "MERDAD",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "ESSAM A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "857-654-0359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiho Jung, L.AC.
• Jina Jung
• Colleen L Jurgens
• Just in Time Medical Services LLC
• Jyothi Gadde MD PA (Allergy and Asthma Specialists of Greater Washington)
• My Hoa Kaas, DPM
• Sahair Kaboli-Monfared, LPC
• James Patrick Kacedan, M.D.
• Michael John Kachura, LPC; LMFT
• Rachel Renee Kaczmarczyk

• Pediatric Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.