Active NPI
Marshall Dental Care
- General Practice Dentistry
- Marshall, VA
National Provider Identifier
1477072973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MARSHALL DENTAL CARE
- Practice address
- 4199 Winchester Road
Suite H
Marshall, VA 20115 - Phone
- (540) 364-8040
- Fax
- (540) 364-8163
- NPI assigned
- Sep 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Basiony Hagar, DDS
- Title
- Owner
- Phone
- (540) 364-8040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4199 Winchester Road
Suite H
Marshall, VA 20115
Mailing address
4199 Winchester Road
Suite H
Marshall, VA 20115
Phone (540) 364-8040
National Provider Directory
National Provider DirectoryLocations
4199 Winchester Rd
Ste H
Marshall, VA 20115
Phone (540) 364-8040
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": "1505433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505433600000",
"number": "1477072973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4199 WINCHESTER ROAD",
"address_2": "SUITE H",
"city": "MARSHALL",
"state": "VA",
"postal_code": "20115",
"telephone_number": "540-364-8040",
"fax_number": "540-364-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 WINCHESTER ROAD",
"address_2": "SUITE H",
"city": "MARSHALL",
"state": "VA",
"postal_code": "20115",
"telephone_number": "540-364-8040",
"fax_number": "540-364-8163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-15",
"last_updated": "2017-09-15",
"status": "A",
"authorized_official_last_name": "HAGAR",
"authorized_official_first_name": "BASIONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-364-8040",
"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": []
}
Other providers in Marshall, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.