Organization Active NPI

Childrens Cardiac Care LLC

  • Pediatric Cardiology Physician
  • Fredericksburg, VA
National Provider Identifier
1467055152
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
CHILDRENS CARDIAC CARE LLC
Practice address
609 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-4566
Phone
(540) 322-4949
Fax
(571) 376-6553
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Authorized official

Name
Dr. Amir DangolNPI 1902069164
Title
Member Manager
Phone
(571) 364-2301

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
Pediatric Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

609 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-4566

Mailing address

609 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-4566
Phone (540) 322-4949

Other practice location 1

10805 Main St Ste 200
Fairfax, VA 22030-4729
Phone (540) 322-4949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771718400000",
    "number": "1467055152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 EMANCIPATION HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014566",
            "telephone_number": "540-322-4949",
            "fax_number": "571-376-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 EMANCIPATION HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014566",
            "telephone_number": "540-322-4949",
            "fax_number": "571-376-6553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10805 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220304729",
            "country_code": "US",
            "telephone_number": "540-322-4949",
            "fax_number": "571-376-6553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS CARDIAC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A",
        "authorized_official_last_name": "DANGOL",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "571-364-2301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; 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.