Organization Active NPI

Virginia Dental Associates PLLC

  • Dentist
  • Burke, VA
National Provider Identifier
1558005694
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VIRGINIA DENTAL ASSOCIATES PLLC
Practice address
9425 Braddock Rd
Burke, VA 22015-1522
Phone
(703) 323-8820
Fax
(703) 323-8821
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
R Patricia Hower
Title
Credentialing Specialist
Phone
(215) 798-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9425 Braddock Rd
Burke, VA 22015-1522

Mailing address

9425 Braddock Rd
Burke, VA 22015-1522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1558005694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 BRADDOCK RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 BRADDOCK RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151522",
            "telephone_number": "703-323-8820",
            "fax_number": "703-323-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "R PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-798-4027"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.