Koneru DDS &Associates,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410786 Issued in VA

Legal business name

KONERU DDS &ASSOCIATES,INC

Practice address

14165 Robert Paris CT Ste a
Chantilly, VA 20151-4243

Phone

(703) 953-3343

Fax

(703) 956-6974

NPI assigned

Oct 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jyothi Koneru, DDSNPI 1437457371

Title

Presient&Ceo

Phone

(703) 953-3343

Specialties & licenses 1

Addresses

Other names 1

• NOVA FAMILY DENTIST 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.

• Jyothi Koneru, DDS

  • Dentist
  • Chantilly, VA
  • NPI 1437457371
  NPD (past) Authorized official

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1649555673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14165 ROBERT PARIS CT STE A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514243",
            "telephone_number": "703-953-3343",
            "fax_number": "703-956-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14165 ROBERT PARIS CT STE A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514243",
            "telephone_number": "703-953-3343",
            "fax_number": "703-956-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONERU DDS &ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "PRESIENT&CEO",
        "authorized_official_telephone_number": "703-953-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA FAMILY DENTIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eun Joo Ko
• Yeun Su Ko
• Nicholas Mark Koehler
• Philip I Koh, DDS
• Venkata Giridhar Kone
• Jyothi Koneru, DDS
• Josephine Koomson
• Halle Kozlowski
• Kathryn Mary Kramer, L.C.S.W.
• Neal D. Kravitz, DMD, MS

• General Practice Dentistry in Chantilly, VA
• Providers in Chantilly, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.