Organization Active NPI

Miller DDS of Alexandria, PC

Doing business as Mount Vernon Dental Smiles

  • Dental Clinic/Center
  • Alexandria, VA
National Provider Identifier
1487371589
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MILLER DDS OF ALEXANDRIA, PC
Doing business as
Mount Vernon Dental Smiles
Practice address
8101 Hinson Farm Rd Ste 216
Alexandria, VA 22306-3406
Phone
(703) 360-6455
Fax
(703) 360-6456
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Martha Harp
Title
Cbo Leader
Phone
(678) 372-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8101 Hinson Farm Rd Ste 216
Alexandria, VA 22306-3406

Mailing address

PO Box 527822
Miami, FL 33152-7822
Phone (703) 360-6455

Other names 1

  • Mount Vernon Dental Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 216
Alexandria, VA 22306
Phone (703) 360-6455

Practitioners & affiliated clinicians

Practitioners 3

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1487371589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527822",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331527822",
            "telephone_number": "703-360-6455",
            "fax_number": "703-360-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 216",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063406",
            "telephone_number": "703-360-6455",
            "fax_number": "703-360-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DDS OF ALEXANDRIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CBO LEADER",
        "authorized_official_telephone_number": "678-372-7358"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Dental Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.