NPIMap

Organization Active NPI

Eugenia a. Walsh, DDS, PC

Doing business as Walsh Dental Care

  • General Practice Dentistry
  • Lorton, VA
National Provider Identifier
1720211501
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412109 Issued in VA
Legal business name
EUGENIA A. WALSH, DDS, PC
Doing business as
Walsh Dental Care
Practice address
9010 Lorton Station Blvd.
Suite 150
Lorton, VA 22079
Phone
(703) 339-5690
Fax
(703) 339-5692
NPI assigned
Aug 27, 2009
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. Eugenia A Walsh, DDSNPI 1386638229
Title
President
Phone
(202) 550-9444

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 0401412109 VA Primary

Addresses

Primary practice location

9010 Lorton Station Blvd.
Suite 150
Lorton, VA 22079

Mailing address

9010 Lorton Station Blvd.
Suite 150
Lorton, VA 22079
Phone (703) 339-5690

Other names 1

  • Walsh Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

9010 Lorton Station Blvd
Ste 150
Lorton, VA 22079
Phone (703) 339-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1720211501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD.",
            "address_2": "SUITE 150",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-339-5690",
            "fax_number": "703-339-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD.",
            "address_2": "SUITE 150",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-339-5690",
            "fax_number": "703-339-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIA A. WALSH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-550-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walsh Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.