Organization Active NPI

Monarch Dentistry

  • Dentist
  • Vienna, VA
National Provider Identifier
1588965214
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411335 Issued in VA
Legal business name
MONARCH DENTISTRY
Practice address
8300 Boone Blvd
Suite 140
Vienna, VA 22182-2626
Phone
(571) 295-5354
Fax
(717) 249-3614
NPI assigned
Nov 11, 2010
Last updated
Nov 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Neil Alexander Flenniken, DDS
Title
President
Phone
(571) 295-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411335 VA Primary

Addresses

Primary practice location

8300 Boone Blvd
Suite 140
Vienna, VA 22182-2626

Mailing address

8300 Boone Blvd
Suite 140
Vienna, VA 22182-2626
Phone (571) 295-5354

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1588965214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BOONE BLVD",
            "address_2": "SUITE 140",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822626",
            "telephone_number": "571-295-5354",
            "fax_number": "717-249-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BOONE BLVD",
            "address_2": "SUITE 140",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822626",
            "telephone_number": "571-295-5354",
            "fax_number": "717-249-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "FLENNIKEN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-295-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.