NPIMap

Organization Active NPI

Myong J Cha DDS PC

  • Dentist
  • Fairfax, VA
National Provider Identifier
1609836022
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
401006594 Issued in VA
Legal business name
MYONG J CHA DDS PC
Practice address
3915 Old Lee Hwy
22D
Fairfax, VA 22030
Phone
(703) 273-5033
Fax
(703) 358-5528
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Dr. Myong J Cha, DDSNPI 1619210341
Title
General Dentist President
Phone
(703) 273-5033

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 401006594 VA Primary

Addresses

Primary practice location

3915 Old Lee Hwy
22D
Fairfax, VA 22030

Mailing address

3611 Chain Bridge Rd
Ste B
Fairfax, VA 22030-3246
Phone (703) 273-5033

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1609836022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 CHAIN BRIDGE RD",
            "address_2": "STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303246",
            "telephone_number": "703-273-5033",
            "fax_number": "703-358-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 OLD LEE HWY",
            "address_2": "22D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-273-5033",
            "fax_number": "703-358-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYONG J CHA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "MYONG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL DENTIST PRESIDENT",
        "authorized_official_telephone_number": "703-273-5033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "401006594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 30, 2016; 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.