Active NPI
Herndon Walking Smiles
- Dentist
- Herndon, VA
National Provider Identifier
1992110811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413042
- Legal business name
- HERNDON WALKING SMILES
- Practice address
- 201 Elden St Ste 102
Herndon, VA 20170-4812 - Phone
- (703) 437-6366
- Fax
- (703) 435-8485
- NPI assigned
- Jun 30, 2014
- Last updated
- Jun 30, 2014
- 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
- Malik M Usman, DDS
- Title
- Dentist
- Phone
- (240) 505-2012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413042 | VA | Primary |
Addresses
Primary practice location
201 Elden St Ste 102
Herndon, VA 20170-4812
Mailing address
201 Elden St Ste 102
Herndon, VA 20170-4812
Phone (703) 437-6366
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Manassas, VA
- NPI 1225291800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404086400000",
"number": "1992110811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ELDEN ST STE 102",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704812",
"telephone_number": "703-437-6366",
"fax_number": "703-435-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ELDEN ST STE 102",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704812",
"telephone_number": "703-437-6366",
"fax_number": "703-435-8485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERNDON WALKING SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A",
"authorized_official_last_name": "USMAN",
"authorized_official_first_name": "MALIK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "240-505-2012",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
- Herndon Dental Arts at Woodland Park, PLLC (Dumfries Dental Arts)
- Herndon Dental Care
- Herndon Family Dental PLLC (Elden Family Dental)
- Herndon Pharmacy and Medical Supply Inc
- Herndon Smile Design PLLC
- Hero Pediatric Dentistry PLLC
- Columbia Herzlinger, OD
- Michelle Womach Hewlett, FNP-C
- Alelia Paige Higgenbottom, LPC-MHSP
- Taylor Higgs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.