DR. LYNN KIANGSOONTRA ALEXANDER (NPI# 1538440391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538440391 |
| Entity Type | Individual |
| Full Name | DR. LYNN KIANGSOONTRA ALEXANDER |
| Credential | D.D.S.1 |
| Practice Address |
4322 Ravensworth Rd Annandale VA 22003-5630 |
| Mailing Address |
707 Parnassus Ave Dental Clinics Building, D4000 San Francisco CA 94143-2210 |
| Practice Telephone | 7032565870 |
| Mailing Telephone | 4154763028 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401414919 | VA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
SP266 | CA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
R521 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376057489 | Lynn Alexander | Counselor | 717 Hart Ln, Nashville, TN 37216-2007 | 2017-11-28 |
| 1740601707 | Lynn Alexander | Counselor | 105 Alero Cir Ne, Rio Rancho, NM 87124-0807 | 2013-12-18 |
| 1447536867 | Lynn C Alexander | Registered Nurse | 1500 Vanderbilt Ave, North Tonawanda, NY 14120-1819 | 2011-10-31 |
| 1093858029 | Lynn I Alexander | Nurse Anesthetist, Certified Registered | 50 Medical Park East Drive, Birmingham, AL 35235 | 2007-02-15 |
| Street Address |
4322 RAVENSWORTH RD |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720292717 | Steven Robert Johnson | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2007-05-09 |
| 1619535614 | Maxwell F Marzouk | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2019-06-04 |
| 1881078749 | Deepak Wararh | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2015-07-10 |
| 1649619818 | Robert Lobo | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2013-06-20 |
| 1053575621 | Lynn M Farrey | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2008-07-14 |
| 1033324504 | Anna V Kopit | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2007-05-10 |
| 1275747982 | Soudabeh Dehghani | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2007-05-10 |
| 1790999662 | Steven R. Johnson, D.d.s. PC | Dentist | 4322 Ravensworth Rd, Annandale, VA 22003-5630 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790061695 | Marjan Salari | Dentist | 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 | 2011-10-24 |
| 1184944217 | Harshit A Aggarwal | Dentist | 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 | 2010-06-11 |
| 1588798375 | Hugo A Bonilla | Dentist | 3299 Woodburn Rd, Suite 120, Annandale, VA 22003-1275 | 2007-03-15 |
| 1952450132 | Tien T Ho | Dentist | 4330 Evergreen Ln, Suite F-1, Annandale, VA 22003-3238 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295149 | Lux Dental Center | Dentist | 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 | 2018-08-17 |
| 1710362447 | Walter Emanuel Odisho | Dentist | 3040 Williams Dr Ste 201, Fairfax, VA 22031 | 2015-07-23 |
| 1417207986 | Techkouhie Hamalian | Dentist | 1911 Fort Myer Dr, Arlington, VA 22209-1607 | 2012-09-12 |
| 1740582832 | Eun Hye Lee | Dentist | 1861 Explorer St, Reston, VA 20190-5665 | 2010-11-23 |
| 1538493275 | Juan Eduardo Alvarez | Dentist | 21287 Southolme Way, Ashburn, VA 20147-6087 | 2009-09-29 |
| 1053543835 | Thomas S Striano | Dentist | 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 | 2009-08-13 |
| 1811121114 | Dr.s Sullivan, Kaihara & Watkins | Dentist | 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 | 2009-05-14 |
| 1518108935 | Brent Lee Rigby | Dentist | 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 | 2009-03-14 |
| 1154591261 | Richard William Toth | Dentist | 10550 Warwick Ave, Fairfax, VA 22030-3133 | 2008-03-04 |
| 1922281781 | James Michael Coleman | Dentist | 6969 Richmond Rd, Williamsburg, VA 23188 | 2007-12-14 |
| 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.