Active NPI
Adriana C Cartaya Mollejas, DDS
- General Practice Dentistry
- Centreville, VA
National Provider Identifier
1710528096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401416728
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416728 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascades Dental of Centreville | General Practice | Current | 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.
-
- General Practice Dentistry
- Centreville, VA
- NPI 1760684146
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.