Organization Active NPI

RBH Dental MGT. Group, Inc

  • Periodontics
  • Burke, VA
National Provider Identifier
1598983314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401411082 Issued in VA
Legal business name
RBH DENTAL MGT. GROUP, INC
Practice address
9612 Minstead CT
Burke, VA 22015-4056
Phone
(202) 468-7383
Fax
(703) 455-5766
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer Hilario Diaz, DDSNPI 1154409506
Title
President
Phone
(703) 455-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401411082 VA Primary

Addresses

Primary practice location

9612 Minstead CT
Burke, VA 22015-4056

Mailing address

9612 Minstead CT
Burke, VA 22015-4056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598983314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 MINSTEAD CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154056",
            "fax_number": "703-455-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 MINSTEAD CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154056",
            "telephone_number": "202-468-7383",
            "fax_number": "703-455-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBH DENTAL MGT. GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HILARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-455-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401411082",
            "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 Aug 22, 2020; 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.