NPIMap

Organization Active NPI

Alexandria Pediatric Dentistry, PLC

  • Dentist
  • Alexandria, VA
National Provider Identifier
1740604693
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414156 Issued in VA
Legal business name
ALEXANDRIA PEDIATRIC DENTISTRY, PLC
Practice address
3223 Duke St
Suite a
Alexandria, VA 22314-4586
Phone
(571) 257-5744
Fax
(571) 257-5759
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Joseph Wong Lopez, D.M.D, M.P.H.NPI 1053362590
Title
Owner
Phone
(571) 257-5744

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401414156 VA Primary

Addresses

Primary practice location

3223 Duke St
Suite a
Alexandria, VA 22314-4586

Mailing address

3223 Duke St
Suite a
Alexandria, VA 22314-4586
Phone (571) 257-5744

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1740604693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 DUKE ST",
            "address_2": "SUITE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144586",
            "telephone_number": "571-257-5744",
            "fax_number": "571-257-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 DUKE ST",
            "address_2": "SUITE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144586",
            "telephone_number": "571-257-5744",
            "fax_number": "571-257-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA PEDIATRIC DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-257-5744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.P.H."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.