Active NPI
Patricia Maria Dary, D.M.D.
- General Practice Dentistry
- Fairfax, VA
National Provider Identifier
1790051282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414585
- Practice address
- 10721 Main St Ste 100
Fairfax, VA 22030 - Phone
- (703) 865-8829
- NPI assigned
- Mar 28, 2012
- Last updated
- May 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401414585 | VA | Primary |
Addresses
Primary practice location
10721 Main St Ste 100
Fairfax, VA 22030
Mailing address
12791 Fair Briar LN
Fairfax, VA 22033-3850
Phone (571) 426-4579
Other practice location 1
142 Totowa Rd Suite 7
Totowa, NJ 07512
Phone (973) 720-0621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414585 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Dental Care PC | General Practice | Past | Accepting new patients |
| Diana L Galvis DDS PC | Past | Accepting new patients | |
| Ea Dental | General Practice | Past | Accepting new patients |
| PD Dental PLLC | Past | Accepting new patients | |
| Smile and Sleep Solutions | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Reston, VA
- NPI 1255509303
-
- Dentist
- Totowa, NJ
- NPI 1386781631
-
- Customized Equipment (DME)
- Totowa, NJ
- NPI 1942005707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1790051282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12791 FAIR BRIAR LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333850",
"telephone_number": "571-426-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 MAIN ST STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-865-8829"
}
],
"practiceLocations": [
{
"address_1": "142 TOTOWA RD SUITE 7",
"address_purpose": "LOCATION",
"city": "Totowa",
"state": "NJ",
"postal_code": "07512",
"country_code": "US",
"telephone_number": "973-720-0621",
"fax_number": "973-720-9527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARY",
"first_name": "PATRICIA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.