Empiredental L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415215 Issued in VA

Legal business name

EMPIREDENTAL L.L.C.

Practice address

5622 Columbia Pike
Suite 103
Falls Church, VA 22041-2718

Phone

(703) 575-8789

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mulualem Tesfaye Assefa, D.D.S.NPI 1053793653

Title

Owner

Phone

(703) 575-8789

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Empire Dental Doing business as

Locations

Practitioners 1

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

• Mulualem Tesfaye Assefa, DDS

  • Dentist
  • District Heights, MD
  • NPI 1053793653

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1639629744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 COLUMBIA PIKE",
            "address_2": "SUITE 103",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412718",
            "telephone_number": "703-575-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 COLUMBIA PIKE",
            "address_2": "SUITE 103",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412718",
            "telephone_number": "703-575-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIREDENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ASSEFA",
        "authorized_official_first_name": "MULUALEM",
        "authorized_official_middle_name": "TESFAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-575-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1053793653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emergency Medicine Associates P.a., P.C.
• Emergency Medicine Associates P.a., P.C.
• Emergency Medicine Associates P.a., P.C.
• Brett Emmerson
• Kathleen M Emper, FNP
• Araena Emris
• Vaishnavi N Enaganti, MD
• Kendal M Endicott
• Andrea Schleifman Endler, M.D.
• Endodontics PLLC

• All providers in Falls Church, VA
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.