VIVEK DOPPALAPUDI DDS MS PC (NPI# 1518159441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518159441 |
| Entity Type | Organization |
| Organization Name | VIVEK DOPPALAPUDI DDS MS PC |
| Practice Address |
102 Elden St Ste 19 Herndon VA 20170-4868 |
| Practice Telephone | 7034640900 |
| Practice Fax Number | 7034811742 |
| Mailing Telephone | 7034640900 |
| Mailing Fax Number | 7034811742 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. VIVEK DOPPALAPUDI (PERIODONTIST / PRESIDENT) |
| Authorized Official Telephone | 7034640900 |
| Authorized Official Credential | DDS MS DMSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401008958 | VA | Dental Providers |
| Street Address |
102 ELDEN ST STE 19 |
| City | HERNDON |
| State | VA |
| Zip Code | 20170-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508196 | J. Brian Queen, Dds, PC | Dentist | 102 Elden St, Suite 20, Herndon, VA 20170-4868 | 2005-12-13 |
| 1801291521 | Jay Brian Queen | Dentist | 102 Elden St, Suite 20, Herndon, VA 20170-4868 | 2014-10-23 |
| 1316224207 | Sun Young Park | Dentist | 102 Elden St, Ste #17, Herndon, VA 20170-4868 | 2011-11-07 |
| 1184956120 | Professional Healthcare Associates,inc. | Clinic/Center | 102 Elden St, Ste. 16, Herndon, VA 20170-4868 | 2010-02-02 |
| 1831331214 | Quality Chiropractic & Rehab | Chiropractor | 102 Elden St, Suite 12, Herndon, VA 20170-4868 | 2009-03-31 |
| 1770743775 | Jaime Diana Luciano | Chiropractor | 102 Elden St, Suite 13, Herndon, VA 20170-4868 | 2008-06-12 |
| 1003095266 | Bryan L Grimmer | Dentist | 102 Elden St, Suite 17, Herndon, VA 20170-4868 | 2007-10-24 |
| 1316131402 | Christopher Allen Dail | Dentist | 102 Elden St, Herndon, VA 20170-4868 | 2007-08-31 |
| 1467573550 | Precision Nuclear Diagnostics, Inc. | Internal Medicine | 102 Elden St, Suite-16, Herndon, VA 20170-4868 | 2007-04-03 |
| 1013069558 | Lisa Anne Walmsley | Chiropractor | 102 Elden St, Suite 13, Herndon, VA 20170-4868 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391506 | Ashley Powell | Counselor | 435a Carlisle Dr Ste 103, Herndon, VA 20170 | 2019-05-13 |
| 1841781176 | Virginia Medical Transport, LLC. | Ambulance | 360 Herndon Pkwy Ste 700, Herndon, VA 20170 | 2018-05-22 |
| 1508378332 | Warm Touch Home Care LLC | In Home Supportive Care | 492 Alabama Dr, Herndon, VA 20170 | 2017-11-02 |
| 1154847853 | Elhady Dental Pllc | Dentist | 131 Elden St #130, Herndon, VA 20170 | 2017-08-15 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1043614308 | Scott Taylor Young | Chiropractor | 905 Herndon Parkway, Suite B, Herndon, VA 20170 | 2014-10-15 |
| 1942614706 | Desiree Debutts Farren | Counselor | 425-b Carlisle Drive, Herndon, VA 20170 | 2014-06-19 |
| 1003229006 | Angels Home Health Care LLC | Home Health | 626 Grant Street, Suite # K, Herndon, VA 20170 | 2014-06-06 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| Find all providers in zip 20170 | ||||
| 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 |
|---|---|---|---|---|
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1346460300 | Alfonso Luis Patron | Dentist | 505 Huntmar Park Dr Ste 150, Herndon, VA 20170-5139 | 2007-05-01 |
| 1619083607 | Vivek Doppalapudi | Dentist | 102 Elden St, Ste 19, Herndon, VA 20170-4868 | 2006-08-22 |
| 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 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
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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.