Alka Panwar, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401416701 Issued in VA

Practice address

4319 Dale Blvd Ste 6
Woodbridge, VA 22193-2401

Phone

(703) 897-8554

NPI assigned

Sep 10, 2019

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

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1689223836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 CRIANZA PL APT 141",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824092",
            "telephone_number": "347-530-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 DALE BLVD STE 6",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932401",
            "telephone_number": "703-897-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANWAR",
        "first_name": "ALKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401416701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hye Joon Pak
• Sunitha Palle, D.D.S.
• Tracy Palmer, PSYD, MPH
• Joshua Pan, PA-C
• Alfredo Besavilla Pantino Jr
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• Alexander John Papas, MD
• Paradise Healthcare LLC (Paradise Health Care)
• Paradox Mental Health
• Paramount Serenity Home Health Services, LLC

• Periodontics in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.