Individual provider Active NPI

Michael John Carino, DMD, MPH, MPA, MSST

  • Public Health Dentistry
  • Falls Church, VA
National Provider Identifier
1659469724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
18030 Issued in MA
Practice address
5109 Leesburg Pike
Hqda Otsg
Falls Church, VA 22041-3215
Phone
(703) 681-1873
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 18030 MA Primary

Addresses

Primary practice location

5109 Leesburg Pike
Hqda Otsg
Falls Church, VA 22041-3215

Mailing address

2229 Bancroft PL NW
Unit 501
Washington, DC 20008-4026
Phone (202) 387-0804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18030MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659469724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 BANCROFT PL NW",
            "address_2": "UNIT 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084026",
            "telephone_number": "202-387-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 LEESBURG PIKE",
            "address_2": "HQDA OTSG",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413215",
            "telephone_number": "703-681-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH, MPA, MSST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "18030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.