Organization Active NPI

Mark P Gerald, DDS, PLLC

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1619806015
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK P GERALD, DDS, PLLC
Practice address
7518 Diplomat Dr Ste 101
Manassas, VA 20109-2690
Phone
(703) 368-0580
Fax
(703) 368-3331
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Dr. Mark Gerald, DDSNPI 1265728612
Title
Dentist/Owner
Phone
(703) 368-0580

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7518 Diplomat Dr Ste 101
Manassas, VA 20109-2690

Mailing address

7518 Diplomat Dr Ste 101
Manassas, VA 20109-2690
Phone (703) 368-0580

National Provider Directory

National Provider Directory

Locations

7518 Diplomat Dr
Ste 101
Manassas, VA 20109
Phone (703) 368-0580

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": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1619806015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 DIPLOMAT DR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092690",
            "telephone_number": "703-368-0580",
            "fax_number": "703-368-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7518 DIPLOMAT DR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092690",
            "telephone_number": "703-368-0580",
            "fax_number": "703-368-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P GERALD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GERALD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "703-368-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.