RUDOLPH & PAINO DDS PLLC (NPI# 1124322169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124322169 |
| Entity Type | Organization |
| Organization Name | RUDOLPH & PAINO DDS PLLC |
| Practice Address |
307 Maple Ave W Suite A Vienna VA 22180-4307 |
| Practice Telephone | 7032817104 |
| Practice Fax Number | 7032812175 |
| Mailing Telephone | 7032817104 |
| Mailing Fax Number | 7032812175 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | DR. BARRY S RUDOLPH (PRESIDENT) |
| Authorized Official Telephone | 7032817104 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
401411121 | VA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
05322 | VA | Ambulatory Health Care Facilities |
| Street Address |
307 MAPLE AVE W SUITE A |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777387 | Fernando Jose Meza | Dentist | 307 Maple Ave W, Suite H, Vienna, VA 22180-4307 | 2006-02-01 |
| 1437684263 | Pham, Biga & Maloney, Pllc | Dentist | 307 Maple Ave W, Suite M, Vienna, VA 22180-4307 | 2017-04-30 |
| 1336549153 | Nabil G Bishara | Dentist | 307 Maple Ave W, Vienna, VA 22180-4307 | 2014-08-28 |
| 1447679527 | Mobile Massage, LLC | Point of Service | 307 Maple Ave W, Vienna, VA 22180-4307 | 2014-04-16 |
| 1861705972 | Joyce P. Hair, M.d. Ltd. | Clinic/Center | 307 Maple Ave W, Suite C, Vienna, VA 22180-4307 | 2010-07-18 |
| 1457682445 | Andrew Youngho Kim | Dentist | 307 Maple Ave W, Suit M, Vienna, VA 22180-4307 | 2010-01-15 |
| 1558505537 | Stephen Ralph Bradley | Dentist | 307 Maple Ave W, Suite G, Vienna, VA 22180-4307 | 2009-04-22 |
| 1437365228 | Tanya Dee Mouchahoir | Dentist | 307 Maple Ave W, Suite A, Vienna, VA 22180-4307 | 2007-05-16 |
| 1790868776 | David Richard Rogowski | Dentist | 307 Maple Ave W, Suite M, Vienna, VA 22180-4307 | 2006-10-23 |
| 1699855221 | Barry S Rudolph | Dentist | 307 Maple Ave W, Suite A, Vienna, VA 22180-4307 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327375 | Marjan Salari Dds Pllc | Clinic/Center | 9455 Deramus Farm Ct, Vienna, VA 22182-1499 | 2020-02-12 |
| 1629617501 | H. R. Makarita Dds PC | Clinic/Center | 8150 Leesburg Pike Ste 503, Vienna, VA 22182-2714 | 2019-12-24 |
| 1699326652 | Meghan Molina Dmd, Pllc | Clinic/Center | 8300 Boone Blvd Ste 140, Vienna, VA 22182-2626 | 2019-09-21 |
| 1760819551 | James F Selander Dds PC | Clinic/Center | 8110 Madrillon Ct, Vienna, VA 22182-3750 | 2013-10-11 |
| 1528313400 | United Dental Group | Clinic/Center | 8133 Leesburg Pike Ste 150, Vienna, VA 22182-2730 | 2012-07-17 |
| 1720229339 | Vienna Dental Care, P.C. | Clinic/Center | 303 Maple Ave W # H, Vienna, VA 22180-4312 | 2009-03-11 |
| 1760621627 | Virginia Dental Care | Clinic/Center | 301 Maple Ave W Ste 300, Vienna, VA 22180-4301 | 2009-02-16 |
| 1467001040 | Ahmed Saad Dds Inc | Clinic/Center | 110 Pleasant St Nw Ste A, Vienna, VA 22180-4447 | 2019-09-06 |
| 1528415809 | Vienna Periodontics | Clinic/Center | 301 Maple Ave W, #440, Vienna, VA 22180-4301 | 2016-05-17 |
| 1689906224 | A. Sanati D.d.s & S. Shahram D.d.s PC | Clinic/Center | 8605 Westwood Center Dr, 210, Vienna, VA 22182-2240 | 2010-02-08 |
| Find all providers in VIENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.