Individual provider Active NPI

Fawaad Chaudhry

  • General Practice Dentistry
  • Springfield, VA
National Provider Identifier
1871061564
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17347 Issued in MD
Practice address
8056 Rolling Rd
Springfield, VA 22153-2928
Phone
(571) 295-5683
NPI assigned
Nov 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401416336 VA
General Practice Dentistry 1223G0001X 17347 MD Primary

Addresses

Primary practice location

8056 Rolling Rd
Springfield, VA 22153-2928

Mailing address

5977 Maxfield CT
Manassas, VA 20112-8851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418000187 VA Order and Referring Only - DentistPractitioner - Dentist 6305187444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17347MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fawaad Chaudhry DDS PLLC CurrentSince Mar 31, 2024 Accepting new patients
Springfield Dental Group, PC Dentist Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1210
Chevy Chase, MD 20815
Phone (301) 652-8282

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1871061564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5977 MAXFIELD CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8056 ROLLING RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532928",
            "telephone_number": "571-295-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "FAWAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-11",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416336",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.