Grace Dental of Virginia, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412081 Issued in VA

Legal business name

GRACE DENTAL OF VIRGINIA, LLC

Practice address

4530 Walney Rd
Suite 102
Chantilly, VA 20151-2284

Phone

(703) 870-7784

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Samer Jarwa

Title

Dentist

Phone

(703) 870-7784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1700212511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 WALNEY RD",
            "address_2": "SUITE 102",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512284",
            "telephone_number": "703-870-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 WALNEY RD",
            "address_2": "SUITE 102",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512284",
            "telephone_number": "703-870-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "JARWA",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-870-7784",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gorden, LPC
• Vijaya Lakshmi Gorle, M.D.
• Irini Gouda, PHYSICAL THERAPY
• Kanika Govil, MD
• Ada Grabowski
• Grace Health LLC (Mindwell Psychology)
• Brenda Graciano
• Breelyn Graham
• Genevieve Grajeda Hernandez
• Hailey R Grant, BT

• 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 Sep 25, 2013; 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.