Organization Active NPI

Herndon Family Dental PLLC

Doing business as Elden Family Dental

  • Dental Clinic/Center
  • Herndon, VA
National Provider Identifier
1962787853
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401412049 Issued in VA
Legal business name
HERNDON FAMILY DENTAL PLLC
Doing business as
Elden Family Dental
Practice address
131 Elden St Ste 100
Herndon, VA 20170
Phone
(703) 657-0000
Fax
(703) 657-0958
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Dr. Babak Robert Meer, D.M.D.NPI 1427011287
Title
President
Phone
(703) 657-0000

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401412049 VA Primary

Addresses

Primary practice location

131 Elden St Ste 100
Herndon, VA 20170

Mailing address

131 Elden St Ste 100
Herndon, VA 20170-4835
Phone (703) 657-0000

Other names 1

  • Elden Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

131 Elden St
Ste 100
Herndon, VA 20170
Phone (703) 657-0000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1962787853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 100",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704835",
            "telephone_number": "703-657-0000",
            "fax_number": "703-657-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 100",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "703-657-0000",
            "fax_number": "703-657-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "BABAK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-657-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elden Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elden Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.