Dr. Elidia C. Fidel, DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410491 Issued in VA

Legal business name

DR. ELIDIA C. FIDEL, DDS PLC

Practice address

5555 Columbia Pike
Suite 102
Arlington, VA 22204-5852

Phone

(703) 575-9899

Fax

(703) 575-9890

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Elidia C Fidel, DDS

Title

Owner

Phone

(703) 575-9899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1801013891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 COLUMBIA PIKE",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "VI",
            "postal_code": "222043117",
            "telephone_number": "703-575-9899",
            "fax_number": "703-575-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 COLUMBIA PIKE",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045852",
            "telephone_number": "703-575-9899",
            "fax_number": "703-575-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELIDIA C. FIDEL, DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "FIDEL",
        "authorized_official_first_name": "ELIDIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-575-9899",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Arlington, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.