INTEGRATIVE IMPLANT SERVICES, LLC (NPI# 1225425465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225425465 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE IMPLANT SERVICES, LLC |
| Practice Address |
6845 Elm. St. Ste. 225 Mclean VA 22102-3834 |
| Mailing Address |
6845 Elm. Street Suite 225 Mclean VA 22101-3834 |
| Practice Telephone | 7033882889 |
| Practice Fax Number | 7033880669 |
| Mailing Telephone | 7033882889 |
| Mailing Fax Number | 7033880669 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | DR. LEUXS CARROLL (OWNER) |
| Authorized Official Telephone | 7033882889 |
| Authorized Official Credential | MD, DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRATIVE ORAL SURGEONS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
040142450 | VA | Ambulatory Health Care Facilities |
| Street Address |
6845 ELM. ST. STE. 225 |
| City | MCLEAN |
| State | VA |
| Zip Code | 22102-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
| 1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
| 1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
| 1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
| 1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
| 1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
| Find all providers in zip 22102 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235424557 | Fredericksburg Regional Oral Surgery Center Inc | Clinic/Center | 210 Executive Center Pkwy, Fredericksburg, VA 22401-3107 | 2011-06-15 |
| 1720006661 | Christopher E. Bonacci Dds Md PC | Clinic/Center | 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304 | 2006-07-18 |
| 1538629134 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2019-03-21 |
| 1922579796 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2018-12-05 |
| 1124572417 | Isle of Wight Family & Cosmetic Dentistry PC | Clinic/Center | 4053 Taylor Rd, Suite J, Chesapeake, VA 23321-5537 | 2016-08-04 |
| 1386050532 | Tristate Oral Surgery Plc | Clinic/Center | 5659 Columbia Pike, Suite 100, Falls Church, VA 22041-2878 | 2014-07-09 |
| 1831526995 | Northern Virginia Center for Oral and Facial Surgery | Clinic/Center | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2013-10-03 |
| 1215292255 | Paul E. Prillaman, IIi, Dds, Plc | Clinic/Center | 905 Battlefield Blvd N, 101, Chesapeake, VA 23320-4875 | 2012-07-05 |
| 1891068417 | Middle Peninsula Oral and Facial Surgery LLC | Clinic/Center | 7547 Medical Dr, Gloucester, VA 23061-4351 | 2012-02-13 |
| 1386818136 | Drs. Gold and Abbott, Ltd. | Clinic/Center | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
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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.