Ballston Dental Arts, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BALLSTON DENTAL ARTS, PLLC

Practice address

900 N Taylor Street #150
Arlington, VA 22203

Phone

(703) 931-5555

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Gomez

Title

Credentialing Supervisor

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duke H Kim, DDS MAGD

  • Dentist
  • Arlington, VA
  • NPI 1528285913
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1861993479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N TAYLOR ST STE 150",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N TAYLOR STREET #150",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22203",
            "telephone_number": "703-931-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLSTON DENTAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Balko
• Kirsten Van Steenberg Ball, MD
• Shantelle S Ballard, PHARMACIST
• Katharine Ballew, LCSW
• Lawrence Ballon, M.D.
• Ballston Metro Dental
• Ballston Optometry, LLC
• Ballston Pain and Rehab Center, PC
• Ballston Psychology, PLLC
• Ballston Therapeutic Massage LTD

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, 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 Feb 28, 2018; 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.