Organization Active NPI

Kingstowne Dental Care PC

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1629250311
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8758 Issued in VA
Legal business name
KINGSTOWNE DENTAL CARE PC
Practice address
7015 A Macnhester Blvd
Alexandria, VA 22310
Phone
(703) 719-0033
Fax
(703) 719-0308
NPI assigned
Dec 4, 2007
Organization subpart
Yes
Parent organization
KINGSTOWNE DENTAL CARE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Charles H Brown III, DDS
Title
Owner
Phone
(703) 719-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8758 VA Primary

Addresses

Primary practice location

7015 A Macnhester Blvd
Alexandria, VA 22310

Mailing address

7015 A Macnhester Blvd
Alexandria, VA 22310
Phone (703) 719-0033

Other names 1

  • Charles H Brown III DDS Doing business as

National Provider Directory

National Provider Directory
Part of
Kingstowne Dental Care PC

Locations

7015A Manchester Blvd
Alexandria, VA 22310
Phone (703) 719-0033

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1629250311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 A MACNHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-719-0033",
            "fax_number": "703-719-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 A MACNHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-719-0033",
            "fax_number": "703-719-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTOWNE DENTAL CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGSTOWNE DENTAL CARE PC",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BROWN III",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-719-0033",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "8758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles H Brown III DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.