NPIMap

Organization Active NPI

Greenhill Family Dental Care LLC

  • Dental Clinic/Center
  • Gainesville, VA
National Provider Identifier
1558855619
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401410917 Issued in VA
Legal business name
GREENHILL FAMILY DENTAL CARE LLC
Practice address
14535 John Marshall Hwy Ste 209
Gainesville, VA 20155-4025
Phone
(703) 753-2252
Fax
(703) 753-2268
NPI assigned
Jun 21, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Kimberley Olsen, DMD
Title
Dentist/Member Owner
Phone
(703) 753-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401410917 VA Primary

Addresses

Primary practice location

14535 John Marshall Hwy Ste 209
Gainesville, VA 20155-4025

Mailing address

14535 John Marshall Hwy Ste 209
Gainesville, VA 20155-4025
Phone (703) 753-2252

Other names 1

  • Greenhill Family Dental Care Other name

National Provider Directory

National Provider Directory

Locations

14535 John Marshall Hwy
Ste 209
Gainesville, VA 20155
Phone (703) 753-2252

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1558855619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 209",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554025",
            "telephone_number": "703-753-2252",
            "fax_number": "703-753-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 209",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554025",
            "telephone_number": "703-753-2252",
            "fax_number": "703-753-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHILL FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "DENTIST/MEMBER OWNER",
        "authorized_official_telephone_number": "703-753-2252",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenhill Family Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.