Columbia Pike Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

040112610 Issued in VA

Legal business name

COLUMBIA PIKE DENTAL PC

Practice address

5555 Columbia Pike Ste 102
Arlington, VA 22204-3117

Phone

(703) 820-8282

Fax

(703) 820-8283

NPI assigned

Mar 6, 2015

Last updated

Mar 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny O Nguyen

Title

Office Manager

Phone

(703) 820-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1841683471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 COLUMBIA PIKE STE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043117",
            "telephone_number": "703-820-8282",
            "fax_number": "703-820-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 COLUMBIA PIKE STE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043117",
            "telephone_number": "703-820-8282",
            "fax_number": "703-820-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PIKE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-820-8282"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "040112610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enid C. Colon, D.D.S
• Paul Elvin Colosky Jr., PT, ATC
• Amanda E Colton, LGSW
• Columbia Associates in Psychiatry PC
• Columbia Heights Dental Center, PLC
• Columbia Pike Family Dentistry
• Olivia Ruth Combs, LCSW
• Comfort and Joy Home Care LLC
• Comfy Dental PLLC
• Commcentrix Home Care Services, Inc

• Dentist in Arlington, VA
• Providers in Arlington, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.