Active NPI
Christy Park Hark, D.D.S.
- General Practice Dentistry
- Alexandria, VA
National Provider Identifier
1952896383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401416113
- Practice address
- 901 N Washington St Ste 202
Alexandria, VA 22314-1535 - Phone
- (703) 706-9564
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401416113 | VA | Primary |
Addresses
Primary practice location
901 N Washington St Ste 202
Alexandria, VA 22314-1535
Mailing address
8580 Wyngate Manor CT
Alexandria, VA 22309-8520
Phone (571) 232-4969
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 |
|---|---|---|---|
| 0401416113 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1952896383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8580 WYNGATE MANOR CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223098520",
"telephone_number": "571-232-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N WASHINGTON ST STE 202",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141535",
"telephone_number": "703-706-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARK",
"first_name": "CHRISTY",
"middle_name": "PARK",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401416113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.