Village Oral and Implant Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401413779 Issued in VA

Legal business name

VILLAGE ORAL AND IMPLANT SURGERY

Practice address

1503 Dodona Terrace SW
105
Leesburg, VA 20175

Phone

(855) 373-7688

NPI assigned

Jun 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian Chang, DMDNPI 1457337982

Title

President

Phone

(855) 373-7688

Specialties & licenses 2

Addresses

Locations

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.

• Brian Byung Chang, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Leesburg, VA
  • NPI 1457337982
  NPD (past) Authorized official

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1730527110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 DODONA TERRACE SW",
            "address_2": "105",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "855-373-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 DODONA TERRACE SW",
            "address_2": "105",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "855-373-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ORAL AND IMPLANT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-373-7688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401413779",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401413499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naya Patel Verma, CNM
• Verum Cutis Dermatology PLLC
• Vida Asiamah DDS PLLC
• Craig Ernest Vigliante, MD DMD
• Village Dental PLLC (Village Dentistry of Leesburg)
• Villeda & Arshi Medical Associates, P.C.
• Danielle Ascani Vincent, MS OTR/L
• Lucas Vinci, DPT
• Violas Home Health Care LLC
• Virginia Cardiovascular Group, LLC

• Oral and Maxillofacial Surgery (Dentist) in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.