Aj Shannon Dmd Plc
Aj Shannon Dmd Plc is a healthcare organization registered as Pediatric Dentistry in Vienna, VA, holding Type 2 (organization) NPI 1962790261 since 2011. The authorized official on file is Andrew Shannon, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962790261 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Aj Shannon Dmd Plc |
| Practice address | 301 MAPLE AVE W, SUITE 200, Vienna, VA, 22180 |
| Phone | 7033198370 |
| Fax | 7033198371 |
| Enumeration date | 2011-07-20 |
| Last updated in NPPES | 2011-07-20 |
Authorized official
| Name | Andrew Shannon |
|---|---|
| Title | Dentist |
| Phone | 5712308051 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | 0401411773 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982825097 | Medicaid | VA | — |
Copy-ready billing details
Provider: Aj Shannon Dmd Plc NPI: 1962790261 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 301 MAPLE AVE W, SUITE 200, Vienna, VA, 22180
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821084872 | Dr N Hines & T Fahy | Organization | Podiatric Clinic/Center | Vienna, VA |
| 1942305024 | Taeho Kim | Individual | Internal Medicine Physician | Vienna, VA |
| 1194811455 | Sarah Ganjavi | Individual | Pediatric Dentistry | Vienna, VA |
| 1154487007 | Endocrine and Diabetes Center P.C. | Organization | Endocrinology, Diabetes & Metabolism Physician | Vienna, VA |
| 1922147313 | Khai Vu | Individual | General Practice Dentistry | Vienna, VA |
| 1982825097 | Andrew Shannon | Individual | Pediatric Dentistry | Vienna, VA |
| 1194935601 | Michael Farr | Individual | Periodontics | Vienna, VA |
| 1508065392 | Uma Kumarappan | Individual | Psychiatry Physician | Vienna, VA |
Verify this record
Cross-check NPI 1962790261 against the authoritative CMS record: view Aj Shannon Dmd Plc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-07-20.