Josemari Deleon Imao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412284 Issued in VA

Practice address

159 Lichfield Blvd
Suite 107
Fredericksburg, VA 22406

Phone

(540) 373-2273

Fax

(540) 373-9233

NPI assigned

Nov 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stafford Dental Care

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1780744557
  NPD (past)

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1841444965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 LICHFIELD BLVD",
            "address_2": "SUITE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224068427",
            "telephone_number": "540-373-2273",
            "fax_number": "540-373-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 LICHFIELD BLVD",
            "address_2": "SUITE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-373-2273",
            "fax_number": "540-373-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAO",
        "first_name": "JOSEMARI",
        "middle_name": "DELEON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aamna Shanzay Iftikhar
• Iggl Enterprises Transportation Services LLC (MedConnect Logistics)
• Arvin Ilagan Ilagan, P.T.
• Ileri-Liv Care Solutions
• Christa Lynn Jillard Ilic, M.D.
• Impact Home Improvements, LLC
• Ana Inashvili, MD
• Nichole Natsumi Inbody, LPC
• Grace Incledon, PT
• Independence Care of Virginia at Fredericksburg, LLC

• General Practice Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Dentistry in Virginia

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