Individual provider Active NPI

Adriana C Cartaya Mollejas, DDS

  • General Practice Dentistry
  • Centreville, VA
National Provider Identifier
1710528096
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416728 Issued in VA
Practice address
6134 Redwood Square Ctr Ste 202
Centreville, VA 20121-2642
Phone
(703) 266-2483
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416728 VA Primary

Addresses

Primary practice location

6134 Redwood Square Ctr Ste 202
Centreville, VA 20121-2642

Mailing address

10100 Twin Rivers Rd Apt 225
Columbia, MD 21044-2575
Phone (484) 951-2164

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@virginialaserdental.com Direct

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
0401416728VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cascades Dental of Centreville General Practice CurrentSince Aug 23, 2020 Accepting new patients

Locations

6134 Redwood Square Ctr
Ste 202
Centreville, VA 20121
Phone (703) 266-2483

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1710528096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 TWIN RIVERS RD APT 225",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442575",
            "telephone_number": "484-951-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CTR STE 202",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212642",
            "telephone_number": "703-266-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAYA MOLLEJAS",
        "first_name": "ADRIANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@virginialaserdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6134 Redwood Square Ctr Ste 202",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201212642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

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