Individual provider Active NPI

Joyce H Bahng, D.M.D.

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1972823375
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416429 Issued in VA
Practice address
46161 Westlake Dr Ste 310
Sterling, VA 20165-5871
Phone
(703) 774-9699
Fax
(703) 444-4309
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-023319 OH
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 0401416429 VA Primary

Addresses

Primary practice location

46161 Westlake Dr Ste 310
Sterling, VA 20165-5871

Mailing address

46161 Westlake Dr Ste 310
Sterling, VA 20165-5871
Phone (703) 774-9699

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416429VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
JB Dental Associates and TMD Sleep Center, PLLC General Practice CurrentSince Jul 17, 2021 Accepting new patients
John a Hudec DDS Inc General Practice Past Accepting new patients
Pal Dental Group, Inc. General Practice PastSince Jul 17, 2021 Accepting new patients
John a Hudec DDS Specialty Services Inc General Practice Past Accepting new patients

Locations

46161 Westlake Dr
Ste 310
Sterling, VA 20165
Phone (703) 444-4188

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1972823375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-774-9699",
            "fax_number": "703-444-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-774-9699",
            "fax_number": "703-444-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNG",
        "first_name": "JOYCE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023319",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.