NPIMap

Organization Active NPI

Peter L Passero DDS & Brian a Feeney DMD PLC

  • Periodontics
  • McLean, VA
National Provider Identifier
1821284431
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401005265 Issued in VA
Legal business name
PETER L PASSERO DDS & BRIAN A FEENEY DMD PLC
Practice address
1430 Spring Hill Road
#101
McLean, VA 22102-3013
Phone
(703) 821-4040
Fax
(703) 821-4041
NPI assigned
Sep 18, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Peter L Passero, DDSNPI 1194169565
Title
Owner Partners
Phone
(703) 821-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 0401005265 VA Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 0401410373 VA

Addresses

Primary practice location

1430 Spring Hill Road
#101
McLean, VA 22102-3013

Mailing address

1430 Spring Hill Road
#101
McLean, VA 22102-3013
Phone (703) 821-4040

National Provider Directory

National Provider Directory

Locations

1430 Spring Hill Rd
Ste 101
McLean, VA 22102
Phone (703) 821-4040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1821284431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL ROAD",
            "address_2": "#101",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023013",
            "telephone_number": "703-821-4040",
            "fax_number": "703-821-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL ROAD",
            "address_2": "#101",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023013",
            "telephone_number": "703-821-4040",
            "fax_number": "703-821-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L PASSERO DDS & BRIAN A FEENEY DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PASSERO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PARTNERS",
        "authorized_official_telephone_number": "703-821-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401005265",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401410373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

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