NPIMap

Organization Active NPI

Lina a. Johnson DDS PC

  • Dental Clinic/Center
  • Burke, VA
National Provider Identifier
1972794543
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401005983 Issued in VA
Legal business name
LINA A. JOHNSON DDS PC
Practice address
6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282
Phone
(703) 440-0100
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Lina Ann Johnson, D.D.S.NPI 1396951729
Title
President
Phone
(703) 440-0100

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 0401005983 VA Primary

Addresses

Primary practice location

6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282

Mailing address

6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282
Phone (703) 440-0100

National Provider Directory

National Provider Directory

Locations

6505 Sydenstricker Rd
Ste B
Burke, VA 22015
Phone (703) 440-0100

Practitioners & affiliated clinicians

Practitioners 2

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1972794543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 SYDENSTRICKER RD STE B",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154282",
            "telephone_number": "703-440-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 SYDENSTRICKER RD STE B",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154282",
            "telephone_number": "703-440-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA A. JOHNSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-440-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401005983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.