NPIMap

Organization Active NPI

Veronica M. Enriquez, DDS, Inc.

  • General Practice Dentistry
  • Chantilly, VA
National Provider Identifier
1720230865
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008941 Issued in VA
Legal business name
VERONICA M. ENRIQUEZ, DDS, INC.
Practice address
14102 Sullyfield Cir
Suite 500
Chantilly, VA 20151-1610
Phone
(703) 378-4004
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Veronica M Enriquez, D.D.S.NPI 1740299718
Title
Owner
Phone
(703) 378-4004

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 0401008941 VA Primary

Addresses

Primary practice location

14102 Sullyfield Cir
Suite 500
Chantilly, VA 20151-1610

Mailing address

14102 Sullyfield Cir
Suite 500
Chantilly, VA 20151-1610
Phone (703) 378-4004

Other identifiers 1

IdentifierTypeStateIssuer
0013923MedicaidVA

National Provider Directory

National Provider Directory

Locations

14102 Sullyfield Cir
Ste 500
Chantilly, VA 20151
Phone (703) 378-4004

Practitioners & affiliated clinicians

Practitioners 3

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": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1720230865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 SULLYFIELD CIR",
            "address_2": "SUITE 500",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511610",
            "telephone_number": "703-378-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 SULLYFIELD CIR",
            "address_2": "SUITE 500",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511610",
            "telephone_number": "703-378-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA M. ENRIQUEZ, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-378-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013923",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.