Active NPI
Michael J Kiesel, D.D.S.
- Dentist
- Annandale, VA
National Provider Identifier
1891962569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5864
- Practice address
- 7257 Maple PL
Annandale, VA 22003-3032 - Phone
- (703) 256-4445
- Fax
- (703) 256-3736
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5864 | VA | Primary |
Addresses
Primary practice location
7257 Maple PL
Annandale, VA 22003-3032
Mailing address
7257 Maple PL
Annandale, VA 22003-3032
Phone (703) 256-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5864 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1891962569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7257 MAPLE PL",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033032",
"telephone_number": "703-256-4445",
"fax_number": "703-256-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7257 MAPLE PL",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033032",
"telephone_number": "703-256-4445",
"fax_number": "703-256-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESEL",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "5864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.