Active NPI
Neal R Emad, DDS
- General Practice Dentistry
- Vienna, VA
National Provider Identifier
1609024199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- VA7185
- Practice address
- 307 Maple Ave W Ste F
Suite#100
Vienna, VA 22180-4307 - Phone
- (703) 938-7615
- Fax
- (703) 242-9417
- NPI assigned
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | VA7185 | VA | Primary |
Addresses
Primary practice location
307 Maple Ave W Ste F
Suite#100
Vienna, VA 22180-4307
Mailing address
307 Maple Ave W Ste F
Suite#100
Vienna, VA 22180-4307
Phone (703) 938-7615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA7185 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1609024199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 MAPLE AVE W STE F",
"address_2": "SUITE#100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804307",
"telephone_number": "703-938-7615",
"fax_number": "703-242-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 MAPLE AVE W STE F",
"address_2": "SUITE#100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804307",
"telephone_number": "703-938-7615",
"fax_number": "703-242-9417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMAD",
"first_name": "NEAL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "VA7185",
"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 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.