Individual provider Active NPI

Imen Gool, DMD

  • General Practice Dentistry
  • Fort Belvoir, VA
National Provider Identifier
1821898040
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040141299 Issued in VA
Practice address
8651 John J Kingman Rd
Fort Belvoir, VA 22060-6200
Phone
(571) 339-8405
NPI assigned
Mar 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040141299 VA Primary

Addresses

Primary practice location

8651 John J Kingman Rd
Fort Belvoir, VA 22060-6200

Mailing address

8651 John J Kingman Rd
Fort Belvoir, VA 22060-6200
Phone (571) 339-8405

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

LicenseStateTypeSpecialty
040141299VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1821898040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 JOHN J KINGMAN RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220606200",
            "telephone_number": "571-339-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 JOHN J KINGMAN RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220606200",
            "telephone_number": "571-339-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOL",
        "first_name": "IMEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "040141299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.