Island Childrens Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ISLAND CHILDRENS DENTISTRY PLLC

Practice address

1500 Cornerside Blvd Ste 310
Vienna, VA 22182-2438

Phone

(703) 790-1320

Fax

(703) 790-0455

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Maria Gema Island, DDSNPI 1386724409

Title

Owner

Phone

(703) 790-1320

Specialties & licenses 1

Addresses

Other names 1

• Island Childrens Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Gema Island, DDS

  • Pediatric Dentistry
  • Vienna, VA
  • NPI 1386724409
  NPD Authorized official
• Allison Lonneman, DMD

  • Pediatric Dentistry
  • Tysons, VA
  • NPI 1376042242
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1962071019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CORNERSIDE BLVD STE 310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822438",
            "telephone_number": "703-790-1320",
            "fax_number": "703-790-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CORNERSIDE BLVD STE 310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822438",
            "telephone_number": "703-790-1320",
            "fax_number": "703-790-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHILDRENS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "ISLAND",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-790-1320",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Childrens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrity Health of Virginia, LLC
• Elizabeth Amelia Intermill, CFNP
• Internal Medicine Practice, P.C.
• Iris Dental Care
• Lizmar Irizarry-Sanabria
• Maria Gema Island, DDS
• Naiem Tony Issa, M.D., PH.D.
• Mohsen Izadi, DDS
• J Kenneth Bowman DC Inc PC
• J. West Therapy LLC

• Pediatric Dentistry in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.