Organization Active NPI

Millennium Dental Care PLLC

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1508226358
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414058 Issued in VA
Legal business name
MILLENNIUM DENTAL CARE PLLC
Practice address
6319 Castle PL
3F
Falls Church, VA 22044-1907
Phone
(703) 231-3506
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Dr. Gheed Almudhafar
Title
Dentist
Phone
(703) 231-3506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401414058 VA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

6319 Castle PL
3F
Falls Church, VA 22044-1907

Mailing address

6319 Castle PL
3F
Falls Church, VA 22044-1907

National Provider Directory

National Provider Directory

Locations

6319 Castle Pl
Ste 3F
Falls Church, VA 22044
Phone (571) 489-8111

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1508226358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL",
            "address_2": "3F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL",
            "address_2": "3F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-231-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "ALMUDHAFAR",
        "authorized_official_first_name": "GHEED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-231-3506",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414058",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.