Organization Active NPI

Mabady PLLC

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1689333643
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MABADY PLLC
Practice address
4600 S Four Mile Run Dr Ste C4
Arlington, VA 22204-3559
Phone
(703) 671-4473
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Dr. Mielad Abady, DDSNPI 1023404928
Title
President/Owner
Phone
(703) 629-6635

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4600 S Four Mile Run Dr Ste C4
Arlington, VA 22204-3559

Mailing address

4520 King St Apt 603
Alexandria, VA 22302-1304
Phone (703) 629-6635

Other names 1

  • Virginia Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4600 S Four Mile Run Dr
Ste C4
Arlington, VA 22204
Phone (703) 671-4473

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1689333643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 KING ST APT 603",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021304",
            "telephone_number": "703-629-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S FOUR MILE RUN DR STE C4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043559",
            "telephone_number": "703-671-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABADY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "ABADY",
        "authorized_official_first_name": "MIELAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "703-629-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.