Monamie Ghatak, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401411100 Issued in VA

Practice address

2301 Gallows Rd Ste 115
Dunn Loring, VA 22027-1149

Phone

(571) 293-1668

NPI assigned

Apr 23, 2007

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merrifield Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Dunn Loring, VA
  • NPI 1316430598
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1649498072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MANHATTAN PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GALLOWS RD STE 115",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271149",
            "telephone_number": "571-293-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATAK",
        "first_name": "MONAMIE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401411100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Physical Therapy and Wellness, LLC
• Nazila Ganji, D.D.S.
• Kristin Nicole Garman, BSN, RN
• Genesis Rehab
• Genesis Rehabilitation
• Haze Green Jr.
• Kimberly Harper, CCC-SLP
• Iliff Opco LLC (August Healthcare at Iliff)
• Invigorate Chiropractic Care LLC
• Simin Javid

• Pediatric Dentistry in Dunn Loring, VA
• Providers in Dunn Loring, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.