DR. MATTHEW JOHN GRAMKEE


Address: 11503 Sunrise Valley Dr, Reston, VA 20191-1505
Phone: 7038603200

DR. MATTHEW JOHN GRAMKEE (NPI# 1487679338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487679338
Entity Type Individual
Full Name DR. MATTHEW JOHN GRAMKEE
Credential DDS
Practice Address 11503 Sunrise Valley Dr
Reston
VA 20191-1505
Mailing Address 8901 Wisconsin Ave
Department of Periodontics
Bethesda
MD 20817
Practice Telephone 7038603200
Enumeration Date 2006-07-13
Last Update Date 2015-11-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
042692-1 NY Dental Providers

Office Location

Street Address 11503 SUNRISE VALLEY DR
City RESTON
State VA
Zip Code 20191-1505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043273394 Joseph Edward Rusz Jr. Dentist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2006-04-08
1386255073 Faranak Mahjour Dentist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2020-08-14
1952930778 Angel A Simmons Dental Hygienist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2020-04-03
1932272671 Robert M Averne Dentist 11503 Sunrise Valley Dr, Reston, VA 20191 2006-11-17
1255403283 Zachary A Casagrande Dentist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2006-11-14
1245302272 Haress Rahim Dentist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2006-11-14
1720158975 Kathleen G Dillon Dentist 11503 Sunrise Valley Dr, Reston, VA 20191 2006-11-08
1922181742 Mark Richard Perez Dentist 11503 Sunrise Valley Dr, Reston, VA 20191 2006-10-23
1972697043 Wayne Joseph Dollard Dentist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2006-10-03
1295741411 Scott Arthur Synnott Dentist 11503 Sunrise Valley Dr, Reston, VA 20191-1505 2006-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275150518 Grace Andales Soistman Nurse Practitioner 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 2020-07-02
1790317709 Twenty Four/7 LLC Private Vehicle 11922 Winterthur Ln, 103, Reston, VA 20191 2020-02-07
1437626058 Aramesh Darvishian Dds Pllc Dentist 12040 South Lakes Dr. Suite 200, Reston, VA 20191 2018-11-01
1992282693 Ashkan Ghods Home Health 11760 Sunrise Valley Dr, #405, Reston, VA 20191 2018-07-25
1104319698 Capital Critical Care & Informatics PC Internal Medicine 11890 Sunrise Valley Dr # 442, Reston, VA 20191 2018-06-11
1063930683 Mackenzie Marie Evans Specialist/Technologist 2380 Branleigh Park Ct, Reston, VA 20191 2017-09-04
1073910345 Jane L Mahan-wiegand Dietitian, Registered 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 2014-12-02
1700214293 Sonny Sunghun Kim Dentist 11876 Sunrise Valley Drive, 101, Reston, VA 20191 2013-10-22
1982036786 Stephanie Lourdes Miller Physician Assistant 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 2013-08-02
1316250988 Thao Ngoc Vuong Pharmacist 1898 Winterport Cluster, Reston, VA 20191 2010-07-23
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740793355 Amy Ton Dds Pllc Dentist 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 2017-11-06
1346453073 Wahn Khang Dentist 11866 Sunrise Valley Dr Ste 101, Reston, VA 20191-3316 2007-05-08
1699778175 Charles Richmond Fields Dentist 1886 Metro Center Dr, Ste 610, Reston, VA 20190-5288 2005-05-27
1265884423 Reston Family Dentist Group Pllc Dentist 1801 Robert Fulton Dr, Suite 100, Reston, VA 20191-5461 2016-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497361471 Lisa A. Marvil, D.m.d., P.l.l.c. Dentist 17341-b Pickwick Drive, Purcellville, VA 20132 2020-09-16
1720624307 Deena Hadithi Dmd, PC. Dentist 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 2019-11-19
1689223836 Alka Panwar Dentist 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 2019-09-10
1801445135 Neha Agarwal Dentist 23386 Epperson Sq, Brambleton, VA 20148-5794 2019-09-09
1164999181 Smba Dentistry, Pllc Dentist 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 2018-10-29
1750860516 Khashayar Kordbacheh Changi Dentist 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 2018-08-11
1205314309 Shivangi B Amin Dentist 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 2018-07-31
1881107100 New River Periodontics and Dental Implant Center, PC Dentist 2612 Sheffield Drive, Blacksburg, VA 24060 2017-11-08
1023539301 Denver James Lyons Dentist 521 N 11th St # 980566, Richmond, VA 23298-5045 2017-06-27
1194258095 Rashmi Ganesh Dentist 23371 Bymes Mill Ter, Ashburn, VA 20148-8112 2017-04-06
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Competitor

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City RESTON
Zip Code 20191

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Dataset Information

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.

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