NPIMap

Organization Active NPI

Jeffrey I. Klioze, D.D.S., LTD

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1831564392
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007694 Issued in VA
Legal business name
JEFFREY I. KLIOZE, D.D.S., LTD
Practice address
9425 Braddock Rd
Burke, VA 22015-1522
Phone
(703) 323-8820
Fax
(703) 323-8821
NPI assigned
Dec 9, 2015
Organization subpart
Yes
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Jeffrey Klioze, DDS
Title
Dentist Owner
Phone
(703) 323-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007694 VA Primary

Addresses

Primary practice location

9425 Braddock Rd
Burke, VA 22015-1522

Mailing address

9425 Braddock Rd
Burke, VA 22015-1522
Phone (703) 323-8820

National Provider Directory

National Provider Directory
Tax ID family
Earl E Klioze DDS and Jeffrey I Klioze Ddsltd2 organizations share this tax ID, including this one
Part of
Giovanni P Iuculano DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9425 Braddock Rd
Burke, VA 22015
Phone (703) 323-8820

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1831564392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 BRADDOCK RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151522",
            "telephone_number": "703-323-8820",
            "fax_number": "703-323-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 BRADDOCK RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151522",
            "telephone_number": "703-323-8820",
            "fax_number": "703-323-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY I. KLIOZE, D.D.S., LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC VALLEY DENTAL CARE, PLLC",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "KLIOZE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "703-323-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.