ANH H PHAM DDS & BARRY R MAHARAJ DDS PC (NPI# 1265547947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265547947 |
| Entity Type | Organization |
| Organization Name | ANH H PHAM DDS & BARRY R MAHARAJ DDS PC |
| Other Organization Name | CHANTILLY ORAL SURGERY |
| Practice Address |
3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 |
| Practice Telephone | 7036689494 |
| Practice Fax Number | 7036689495 |
| Mailing Telephone | 7036689494 |
| Mailing Fax Number | 7036689495 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | MRS. KAITI ROSE GRIM (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 7036689494 |
| Authorized Official Credential | CMOM CERT MEDICA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401410305 | VA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401006304 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRIGON BCBS ANTHEM | 105288 | 01 | |
| TRIGON BCBS ANTHEM | 105289 | 01 | |
| UNITED CONCORDIA | 1667155 | 01 | |
| MAMSI OPT CHOICE ALLIANCE | 555676 | 01 | |
| UNITED CONCORDIA | 1696192 | 01 | |
| MAMSI OPT CHOICE ALLIANCE | 392375 | 01 | |
| UNITED HEALTH CARE | 1006881 | 01 |
| Other Name | Type Code |
|---|---|
| Chantilly Oral Surgery | Doing Business As Name - Organization |
| Street Address |
3910 CENTERVILLE RD STE 110 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1528101805 | Kamran Nawaz Raja | Dentist | 24805 Pinebrook Rd Ste 318, Chantilly, VA 20152 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| 1962866350 | Zachary Jones | Dentist | 4660 Kenmore Ave Ste 204, Alexandria, VA 22304-1306 | 2016-04-11 |
| 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.