OrganizationActive
Neibauer Dental Care, PC
NPI 1417224056 · General Practice Dentistry · Chantilly, VA
Neibauer Dental Care, PC is a General Practice Dentistry organization in Chantilly, VA (NPI 1417224056).
Provider details
- NPI number
- 1417224056
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Neibauer Dental Care, PC
- Organization subpart
- Yes
- Authorized official
- Kam Shick, Insurance Coordinator(217) 540-5141
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25401 Eastern Marketplace Plz Ste 165
Chantilly, VA 20152-5783
Phone: (703) 542-3171
Fax: (703) 542-7325
Street-level locationGet directions
Mailing address
25401 Eastern Marketplace Plz Ste 165
Chantilly, VA 20152-5783
Other names (DBA / former)
- Doing business as
- Neibauer Dental Care - South Riding
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2011-11-28
Frequently asked questions
- What is Neibauer Dental Care, PC's NPI number?
- Neibauer Dental Care, PC's National Provider Identifier (NPI) is 1417224056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neibauer Dental Care, PC?
- Neibauer Dental Care, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Neibauer Dental Care, PC located?
- Neibauer Dental Care, PC's practice location on file with NPPES is 25401 Eastern Marketplace Plz Ste 165, Chantilly, VA 20152-5783.
- What is Neibauer Dental Care, PC's phone number?
- The practice phone number listed in the NPPES registry for Neibauer Dental Care, PC is (703) 542-3171.
- Who is the authorized official for Neibauer Dental Care, PC?
- The authorized official listed on Neibauer Dental Care, PC's NPPES record is Kam Shick, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neibauer Dental Care, PC's NPI active?
- Yes — Neibauer Dental Care, PC's NPI (1417224056) is active in the NPPES registry as of the last update on 2011-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.