NPIMap

Organization Active NPI

Clarendon Family Dentistry

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1467111401
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLARENDON FAMILY DENTISTRY
Practice address
1301 N Highland St
Arlington, VA 22201-5017
Phone
(703) 522-8894
NPI assigned
Dec 16, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Dr. Brigid Mooney, DDSNPI 1881980258
Title
Manager Dentist
Phone
(703) 522-8894

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1301 N Highland St
Arlington, VA 22201-5017

Mailing address

1301 N Highland St
Arlington, VA 22201-5017
Phone (703) 522-8894

Other names 1

  • Drs Lakas & Shaeffer D.D.S. Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1301 N Highland St
Arlington, VA 22201
Phone (703) 522-8320

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": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1467111401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HIGHLAND ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015017",
            "telephone_number": "703-522-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HIGHLAND ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015017",
            "telephone_number": "703-522-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "MANAGER DENTIST",
        "authorized_official_telephone_number": "703-522-8894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Lakas & Shaeffer D.D.S. Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.