PEDIATRIC DENTISTRY OF SOUTH RIDING (NPI# 1427455005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427455005 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF SOUTH RIDING |
| Practice Address |
25055 Riding Plz Suite 240 South Riding VA 20152-5917 |
| Practice Telephone | 7035423545 |
| Practice Fax Number | 7035422065 |
| Mailing Telephone | 7035423545 |
| Mailing Fax Number | 7035422065 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | DR. THERESE CHU (OWNER/ DENTIST) |
| Authorized Official Telephone | 7035423545 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
VA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PEDIATRIC DENTISTRY OF SOUTH RIDING PC | 25055 Riding Plaza, Ste 240, South Riding, Virginia 20152 |
| Street Address |
25055 RIDING PLZ SUITE 240 |
| City | SOUTH RIDING |
| State | VA |
| Zip Code | 20152-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922449263 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 25055 Riding Plz, Suite 230, South Riding, VA 20152-5917 | 2013-07-16 |
| 1093949422 | Pradnya P Shirsolkar | Family Medicine | 25055 Riding Plz, Suite 220, South Riding, VA 20152-5917 | 2009-05-13 |
| 1518118413 | Lee & Oh Dds LLC | Dentist | 25055 Riding Plz, Suite 250, South Riding, VA 20152-5917 | 2008-10-09 |
| 1902060866 | Alicia Michele Krupa | Optometrist | 25055 Riding Plz, Suite 100, South Riding, VA 20152-5917 | 2008-07-10 |
| 1245418672 | Riding Plaza Dental Care, Pllc | Clinic/Center | 25055 Riding Plz, Suite 210, South Riding, VA 20152-5917 | 2008-02-07 |
| 1689887523 | Linh Nguyen | Dentist | 25055 Riding Plz, Suite 210, South Riding, VA 20152-5917 | 2007-05-07 |
| 1255454435 | Shawn Kapoor | Pediatrics | 25055 Riding Plz, Suite 150, South Riding, VA 20152-5917 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699135590 | Awad Kamil | Dentist | 43130 Amberwood Plz Ste 230, South Riding, VA 20152-4110 | 2016-03-04 |
| 1497877328 | Stephanie M Yang | Dentist | 25055 Riding Plz Ste 240, South Riding, VA 20152-5920 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH RIDING |
| Zip Code | 20152 |
Please comment or provide details below to improve the information on PEDIATRIC DENTISTRY OF SOUTH RIDING.
| 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.