Organization Active NPI

Bailey'S Crossroads Dental Group PLLC

  • Dental Clinic/Center
  • Falls Church, VA
National Provider Identifier
1801597935
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAILEY'S CROSSROADS DENTAL GROUP PLLC
Practice address
5659 Columbia Pike Ste 100
Falls Church, VA 22041-2879
Phone
(703) 417-9840
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Geith Kallas, DDS
Title
Owner
Phone
(703) 622-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5659 Columbia Pike Ste 100
Falls Church, VA 22041-2879

Mailing address

8310 Old Courthouse Rd Ste a
Vienna, VA 22182-3872

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1801597935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD STE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 COLUMBIA PIKE STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412879",
            "telephone_number": "703-417-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY'S CROSSROADS DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "GEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-622-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.