NPIMap

Organization Active NPI

Yolonda L Weaver DDS PC

Doing business as Fairfax Dental Center

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1588098354
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410745 Issued in VA
Legal business name
YOLONDA L WEAVER DDS PC
Doing business as
Fairfax Dental Center
Practice address
4000 Virginia St
Fairfax, VA 22032-1047
Phone
(703) 273-1443
Fax
(703) 273-9186
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mr. Aliko Mwaisela
Title
Business Manager
Phone
(703) 273-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410745 VA Primary

Addresses

Primary practice location

4000 Virginia St
Fairfax, VA 22032-1047

Mailing address

4000 Virginia St
Fairfax, VA 22032-1047
Phone (703) 273-1443

Other names 1

  • Fairfax Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairfax Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1588098354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 VIRGINIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321047",
            "telephone_number": "703-273-1443",
            "fax_number": "703-273-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 VIRGINIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321047",
            "telephone_number": "703-273-1443",
            "fax_number": "703-273-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLONDA L WEAVER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "MWAISELA",
        "authorized_official_first_name": "ALIKO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "703-273-1443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.