NPIMap

Organization Active NPI

Messina Canal Moawad DDS PC

  • General Practice Dentistry
  • Reston, VA
National Provider Identifier
1437304649
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MESSINA CANAL MOAWAD DDS PC
Practice address
1886 Metro Center Drive Suite 600
Reston, VA 20190
Phone
(703) 318-8200
Fax
(703) 318-0834
NPI assigned
Dec 2, 2008
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Dr. Emilio Canal Jr., DDSNPI 1689782674
Title
Secretary
Phone
(703) 318-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1886 Metro Center Drive Suite 600
Reston, VA 20190

Mailing address

1886 Metro Center Drive Suite 600
Reston, VA 20190
Phone (703) 318-8200

National Provider Directory

National Provider Directory

Locations

1886 Metro Center Dr
Ste 600
Reston, VA 20190
Phone (703) 318-8200

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1437304649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 METRO CENTER DRIVE SUITE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-318-8200",
            "fax_number": "703-318-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 METRO CENTER DRIVE SUITE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-318-8200",
            "fax_number": "703-318-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESSINA CANAL MOAWAD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "CANAL",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-318-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.