Gino VC, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GINO VC, DDS, PLLC

Doing business as

Dulles Life Smiles

Practice address

22420 Flagstaff Plaza
Suite 150
Ashburn, VA 20148

Phone

(571) 210-0435

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gino Oscar Valdivieso Chiang, DDS

Title

Owner

Phone

(571) 210-0435

Specialties & licenses 1

Addresses

Other names 1

• Dulles Life Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gino Oscar Valdivieso, D.D.S.

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1326484825
  NPD

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1932760196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 MANAHOAC PL",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551634",
            "telephone_number": "571-210-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22420 FLAGSTAFF PLAZA",
            "address_2": "SUITE 150",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20148",
            "telephone_number": "571-210-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22420 Flagstaff Plaza",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "20148",
            "country_code": "US",
            "telephone_number": "571-210-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GINO VC, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "VALDIVIESO CHIANG",
        "authorized_official_first_name": "GINO",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-210-0435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dulles Life Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Giles, CPNP-PC
• Jessica Gilleo
• Kathryn Gillette
• Dawn Russ Gingras, L.P.C., L.M.H.C.
• John Lawrence Gingras, LPC, LMHC
• Giovanna Morena M.D, P.C.
• Alexis Michel Roger Giraudineau, MS
• Meghan Girres
• Kelly Wrightson Givans, NP-C
• Howard A Glick, M.D.

• Dental Clinic/Center in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.