Active NPI
Smile Concept PLLC
- General Practice Dentistry
- Annandale, VA
National Provider Identifier
1952961971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILE CONCEPT PLLC
- Practice address
- 7857 Heritage Dr Ste 320
Annandale, VA 22003-5350 - Phone
- (703) 721-4261
- Fax
- (703) 782-8347
- NPI assigned
- Jun 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Eliana Chang, D.D.S
- Title
- Owner
- Phone
- (703) 721-4261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
7857 Heritage Dr Ste 320
Annandale, VA 22003-5350
Mailing address
7857 Heritage Dr Ste 320
Annandale, VA 22003-5350
Phone (703) 721-4261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9225793 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ANNANDALE | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
7857 Heritage Dr
Ste 320
Annandale, VA 22003
Phone (703) 721-4261
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Falls Church, VA
- NPI 1184857179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560988800000",
"number": "1952961971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7857 HERITAGE DR STE 320",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220035350",
"telephone_number": "703-721-4261",
"fax_number": "703-782-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7857 HERITAGE DR STE 320",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220035350",
"telephone_number": "703-721-4261",
"fax_number": "703-782-8347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE CONCEPT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "ELIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-721-4261",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9225793",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ANNANDALE",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7857 Heritage Dr Ste 320",
"city": "Annandale",
"state": "VA",
"country_code": "US",
"postal_code": "220035350",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 20, 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.