Team Dental at River Oaks

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

8593 Issued in VA

Legal business name

TEAM DENTAL AT RIVER OAKS

Practice address

16689 River Ridge Blvd
Woodbridge, VA 22191-4630

Phone

(703) 221-9759

Fax

(703) 221-2782

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By 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. Michael Enon King, D.D.S.NPI 1003002361

Title

Dentist

Phone

(703) 221-9759

Specialties & licenses 1

Addresses

Locations

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.

• Michael Enon King, DDS

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1003002361
  NPD (past) Authorized official
• Tameem Aziz, DDS

  • Dentist
  • Woodbridge, VA
  • NPI 1881264281
  NPD (past)
• Kishori Dinesh Patel, DDS

  • Dentist
  • Woodbridge, VA
  • NPI 1912893249
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1447433578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16689 RIVER RIDGE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914630",
            "telephone_number": "703-221-9759",
            "fax_number": "703-221-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16689 RIVER RIDGE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914630",
            "telephone_number": "703-221-9759",
            "fax_number": "703-221-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM DENTAL AT RIVER OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ENON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-221-9759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "8593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Tchouaffi-Nana, M.D.
• TDG Dental Group PLLC
• TDS Health (TDS Health Pharmacy)
• TDS Health
• TDS Health Home Care LLC
• Helen Teferi
• Tekivan Group, Inc. (Tekivan Medical Supplies)
• Daniel Tekle
• Mariela Tellez Paez
• Renee Michelle Tempest, OTR/L

• Exclusive Provider Organization in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.