Organization Active NPI

Joseph Alwan, DDS, PLLC

  • Dentist
  • Herndon, VA
National Provider Identifier
1437696499
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401415274 Issued in VA
Legal business name
JOSEPH ALWAN, DDS, PLLC
Practice address
201 Elden St Ste 102
Herndon, VA 20170-4812
Phone
(703) 437-6366
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Dr. Joseph Alwan, DDS
Title
Owner
Phone
(210) 410-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401415274 VA Primary

Addresses

Primary practice location

201 Elden St Ste 102
Herndon, VA 20170-4812

Mailing address

201 Elden St Ste 102
Herndon, VA 20170-4812
Phone (703) 437-6366

Other names 1

  • Herndon Healthy Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1437696499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ELDEN ST STE 102",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704812",
            "telephone_number": "703-437-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ELDEN ST STE 102",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704812",
            "telephone_number": "703-437-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ALWAN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "ALWAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-410-5764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herndon Healthy Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.