Active NPI
Chad Alan Kasperowski, D.M.D
- General Practice Dentistry
- Fairfax, VA
National Provider Identifier
1801870928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401411416
- Practice address
- 8270 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4529 - Phone
- (703) 591-5637
- Fax
- (703) 591-7934
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 411416 | VA | |
| General Practice Dentistry | 1223G0001X | 0401411416 | VA | Primary |
| General Practice Dentistry | 1223G0001X | 20754 | MA |
Addresses
Primary practice location
8270 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4529
Mailing address
8270 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4529
Phone (703) 591-5637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150722006418 | VA | Order and Referring Only - Other (Non-Physician) | 9335452127 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 411416 | VA | MD | Dentist |
| 20754 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1801870928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8270 WILLOW OAKS CORPORATE DR STE 650",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314529",
"telephone_number": "703-591-5637",
"fax_number": "703-591-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8270 WILLOW OAKS CORPORATE DR STE 650",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314529",
"telephone_number": "703-591-5637",
"fax_number": "703-591-7934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPEROWSKI",
"first_name": "CHAD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "411416",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401411416",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "20754",
"primary": false
}
],
"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 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.