Vienna Periodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412796 Issued in VA

Legal business name

VIENNA PERIODONTICS

Practice address

301 Maple Ave W
#440
Vienna, VA 22180-4301

Phone

(703) 539-9215

NPI assigned

May 17, 2016

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eunseok Oh, DDSNPI 1831306844

Title

President

Phone

(703) 539-9215

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Eunseok Oh, D.D.S

  • Periodontics
  • Vienna, VA
  • NPI 1831306844
  NPD (past) Authorized official
• Anthony John Palumbo, DMD

  • Periodontics
  • Clifton Park, NY
  • NPI 1154600591
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1528415809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W",
            "address_2": "#440",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804301",
            "telephone_number": "703-539-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W",
            "address_2": "#440",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804301",
            "telephone_number": "703-539-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "EUNSEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-539-9215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vienna Internal Medicine Associates PC
• Vienna Medical Group PLLC
• Vienna Neurological Institute PLLC
• Vienna Optical Co., Inc
• Vienna Optometry, LLC (MyEyeDr.)
• Vienna Podiatry LTD
• Vienna Primary and Preventative Medicine, PLLC (Vienna Primary and Preventive Medicine)
• Vienna-Fair Oaks Hearing and Speech Center, Inc.
• Tonie Vieux, M.S., CCC-SLP
• Alexander Joseph Viglis, LPC

• Dental Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.