DR. MARK LUPOSELLO AND DR. ROBERT MARZBAN (NPI# 1720279961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720279961 |
| Entity Type | Organization |
| Organization Name | DR. MARK LUPOSELLO AND DR. ROBERT MARZBAN |
| Practice Address |
6858 Old Dominion Dr Suite 100 Mc Lean VA 22101-3899 |
| Practice Telephone | 7033568787 |
| Practice Fax Number | 7034424868 |
| Mailing Telephone | 7033568787 |
| Mailing Fax Number | 7034424868 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | DR. ROBERT MARZBAN (VICE PRESIDENT) |
| Authorized Official Telephone | 7033568781 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
6858 OLD DOMINION DR SUITE 100 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-3899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301772 | Kathryn Fair | Occupational Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2005-07-22 |
| 1770135667 | Michelle Marie Flewitt | Physical Therapist | 6858 Old Dominion Dr, Mc Lean, VA 22101-3899 | 2019-07-11 |
| 1124589551 | Emily Louise Young | Family Medicine | 6858 Old Dominion Dr, Mc Lean, VA 22101-3899 | 2019-03-28 |
| 1285166017 | Allison Lawrence | Dentist | 6858 Old Dominion Dr, Suite 100, Mc Lean, VA 22101-3899 | 2017-03-30 |
| 1154778124 | Melissa Youtzy | Physical Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2016-05-19 |
| 1558739748 | Mgmc, LLC | General Practice | 6858 Old Dominion Dr, Second Floor, Mc Lean, VA 22101-3899 | 2015-09-04 |
| 1003293374 | National Rehabilitation Hospital, Inc. | Physical Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2015-05-06 |
| 1396143582 | Lindsey Greenwald | Physical Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2014-12-20 |
| 1902212756 | Caitlin Belfield | Physical Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2014-07-01 |
| 1134540800 | Cameron Saucier | Physical Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2013-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137608 | Deirdre Maull | Dentist | 6845 Elm St Ste 505, Mc Lean, VA 22101-3822 | 2019-04-25 |
| 1285166017 | Allison Lawrence | Dentist | 6858 Old Dominion Dr, Suite 100, Mc Lean, VA 22101-3899 | 2017-03-30 |
| 1699113159 | Sooyeon Caritas Ahn | Dentist | 6845 Elm St, Suite 450, Mc Lean, VA 22101-6007 | 2013-06-06 |
| 1144533415 | Thoai-lan Tran | Dentist | 8180 Greensboro Dr, Suite 100, Mc Lean, VA 22102-3888 | 2010-07-15 |
| 1053503151 | Robert Babak Marzban | Dentist | 6858 Old Dominion Dr, Suite 100, Mc Lean, VA 22101-3899 | 2007-08-13 |
| 1245421122 | Mark Luposello | Dentist | 6858 Old Dominion Dr, Suite 100, Mc Lean, VA 22101-3899 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804911 | Justin Groody | Dentist | 900 N 24th St, Richmond, VA 23223-6412 | 2020-09-04 |
| 1609484047 | Nicholas Mcchesney Lynch | Dentist | 520 N 12th St Rm 111, Richmond, VA 23298-5064 | 2020-07-22 |
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1649813163 | Ki Youn Kil | Dentist | 800 W Broad St Ste 307, Falls Church, VA 22046-3145 | 2019-10-28 |
| 1811548605 | Morgan Orthodontics | Dentist | 1841 Plaza Dr, Winchester, VA 22601-6365 | 2019-09-24 |
| 1770140030 | M Kent Kiser, Dds, Ltd | Dentist | 1151 E Main St Ste C, Radford, VA 24141-1761 | 2019-05-22 |
| 1629541560 | C William Dabney, PC | Dentist | 304 Browns Hill Ct, Midlothian, VA 23114-9511 | 2019-01-03 |
| 1356819981 | Novicare Orthodontics Pllc | Dentist | 717 Pendleton St, Alexandria, VA 22314-1820 | 2018-11-13 |
| 1912473505 | Jessica Thai | Dentist | 25055 Riding Plz Ste 110, Chantilly, VA 20152-5918 | 2018-10-22 |
| 1619459633 | Moataz Nasser Elmahdy | Dentist | 2338 East Little Greek Rd, Norfolk, VA 23518 | 2018-09-06 |
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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.