VIKAS PURI (NPI# 1568735785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568735785 |
| Entity Type | Individual |
| Full Name | VIKAS PURI |
| Practice Address |
11150 Fairfax Blvd Fairfax VA 22030-5066 |
| Mailing Address |
9423 Glencroft Way Indianapolis IN 46250-4150 |
| Practice Telephone | 7039344474 |
| Mailing Telephone | 2604162125 |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2012-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401413441 | VA | Dental Providers |
| Street Address |
11150 FAIRFAX BLVD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073568887 | David Michael Wilder | Preventive Medicine | 11150 Fairfax Blvd, Suite 550, Fairfax, VA 22030-5066 | 2006-05-23 |
| 1013565019 | Hannah Sichel | Speech-Language Pathologist | 11150 Fairfax Blvd, Fairfax, VA 22030-5066 | 2019-09-03 |
| 1588158356 | Nathalie Marie Picayo | Speech-Language Pathologist | 11150 Fairfax Blvd, Fairfax, VA 22030-5066 | 2018-06-15 |
| 1588113922 | Jordan Bills | Speech-Language Pathologist | 11150 Fairfax Blvd, Suite 500, Fairfax, VA 22030-5066 | 2016-09-27 |
| 1225493802 | Nicole Elizabeth Herndon | Speech-Language Pathologist | 11150 Fairfax Blvd, Suite 500, Fairfax, VA 22030-5066 | 2015-12-23 |
| 1740645498 | Emily Kurinsky | Speech-Language Pathologist | 11150 Fairfax Blvd, Suite 500, Fairfax, VA 22030-5066 | 2015-12-23 |
| 1285041376 | Elizabeth Steiss Ventura | Speech-Language Pathologist | 11150 Fairfax Blvd, Suit 500, Fairfax, VA 22030-5066 | 2014-07-21 |
| 1114262102 | Victoria Matkowski | Speech-Language Pathologist | 11150 Fairfax Blvd, Suite 500, Fairfax, VA 22030-5066 | 2012-12-03 |
| 1568743219 | Washington Speech-language Pathology Group Pllc | Speech-Language Pathologist | 11150 Fairfax Blvd, Suite 500, Fairfax, VA 22030-5066 | 2011-09-07 |
| 1225341647 | Thiago De Oliveira Matias | Dentist | 11150 Fairfax Blvd, Suite 301, Fairfax, VA 22030-5066 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174802623 | Edison A Abril | Dentist | 4210 Mozart Brigade Ln, Apartment Y, Fairfax, VA 22033-3906 | 2011-08-15 |
| 1780997288 | Dr. Jaklin Bezik & Associates | Dentist | 11150 Fairfax Bulvard #301, Fairfax, VA 22030 | 2010-07-26 |
| 1215135579 | Richard Usang Koh | Dentist | 13035 Lee Jackson Memorial Hwy, Suite D, Fairfax, VA 22033-2039 | 2007-07-10 |
| 1720125321 | William T. Ryals Jr. | Dentist | 10621 Braddock Rd, Suite D, Fairfax, VA 22032-2200 | 2007-01-31 |
| 1306939335 | Gregory Nosal | Dentist | 9514c Lee Hwy, Fairfax, VA 22031-2303 | 2006-10-02 |
| 1639172620 | Michael Edwin Oppenheimer | Dentist | 9938 Main St, Fairfax, VA 22031-3901 | 2005-05-24 |
| 1356887400 | Sandra Pacios Pujado | Dentist | 3224 Cambridge Ct, Fairfax, VA 22030-1912 | 2017-01-12 |
| 1255695243 | Deep Roots Periodontics Pllc | Dentist | 11130 Fairfax Blvd, Suite 100, Fairfax, VA 22030-5035 | 2012-06-25 |
| 1639399306 | Ira M Rosenthal | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-04-26 |
| 1356480552 | Jaklin Bezik | Dentist | 11150 Fairfax Blvd, 301, Fairfax, VA 22030-5066 | 2007-02-05 |
| Find all providers in FAIRFAX | ||||
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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.