Active NPI
DKDC Merrifield PLLC
- Dentist
- Fairfax, VA
National Provider Identifier
1689041584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401008829
- Legal business name
- DKDC MERRIFIELD PLLC
- Practice address
- 2810 Old Lee Hwy
Suite 200a
Fairfax, VA 22031-4376 - Phone
- (703) 945-2200
- NPI assigned
- Aug 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Geith Kallas
- Title
- Member
- Phone
- (703) 356-0250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401008829 | VA | Primary |
Addresses
Primary practice location
2810 Old Lee Hwy
Suite 200a
Fairfax, VA 22031-4376
Mailing address
2810 Old Lee Hwy
Suite 200a
Fairfax, VA 22031-4376
Phone (703) 945-2200
National Provider Directory
National Provider DirectoryLocations
2810 Old Lee Hwy
Ste 200A
Fairfax, VA 22031
Phone (703) 559-3419
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Vienna, VA
- NPI 1801121082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1689041584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 OLD LEE HWY",
"address_2": "SUITE 200A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314376",
"telephone_number": "703-945-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 OLD LEE HWY",
"address_2": "SUITE 200A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314376",
"telephone_number": "703-945-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DKDC MERRIFIELD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "KALLAS",
"authorized_official_first_name": "GEITH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "703-356-0250",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "0401008829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.