Dr Carlos a. Heresi & Associates PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412533 Issued in VA

Legal business name

DR CARLOS A. HERESI & ASSOCIATES PLLC

Practice address

112 Falcon Dr
Fredericksburg, VA 22408-1931

Phone

(540) 898-8805

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Carlos A. Heresi

Title

Doctor

Phone

(571) 218-5301

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas H Blackburn, DDS

  • Public Health Dentistry
  • Fredericksburg, VA
  • NPI 1164582136
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1619365293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081931",
            "telephone_number": "540-898-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARLOS A. HERESI & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "HERESI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "571-218-5301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nicole Douglass
• Jessica Michelle Dowling, FNP
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• Kelly Patrice Doyle
• Dr Cathie H Butterworth
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• Dr. Ansam a Zaiber DDS
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• Dental Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.