NPIMap

Organization Active NPI

Herndon Dental Arts at Woodland Park, PLLC

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1740602291
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413520 Issued in VA
Legal business name
HERNDON DENTAL ARTS AT WOODLAND PARK, PLLC
Practice address
12973 Highland Crossing Drive
Ste B
Herndon, VA 20171
Phone
(703) 953-3307
Fax
(703) 953-3308
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Chris Barbosa
Title
Office Manager
Phone
(703) 953-3307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401413520 VA Primary

Addresses

Primary practice location

12973 Highland Crossing Drive
Ste B
Herndon, VA 20171

Mailing address

12973 Highland Crossing Drive
Ste B
Herndon, VA 20171
Phone (703) 953-3307

Other names 1

  • Dumfries Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

12973 Highland Crossing Dr
Ste B
Herndon, VA 20171
Phone (703) 953-3307

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1740602291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12973 HIGHLAND CROSSING DRIVE",
            "address_2": "STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-953-3307",
            "fax_number": "703-953-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12973 HIGHLAND CROSSING DRIVE",
            "address_2": "STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-953-3307",
            "fax_number": "703-953-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON DENTAL ARTS AT WOODLAND PARK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "BARBOSA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-953-3307"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dumfries Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.