DOMINION PLASTIC SURGERY LLC
NPI 1215465646
Surgery - Plastic and Reconstructive Surgery in Falls Church, VA

Active since May 30, 2017CLIA 49D2304794 · Waiver
2755 HARTLAND RD STE 204, FALLS CHURCH, VA 22043(703) 884-2399(703) 884-2399 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominion Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINION PLASTIC SURGERY LLC (NPI 1215465646) is a healthcare organization registered as a plastic and reconstructive surgery in Falls Church, Virginia and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Vineet Mehan, Director, as its authorized official.

NPPES Registry Identity

NPI1215465646
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameDOMINION PLASTIC SURGERY LLC
Location Address2755 HARTLAND RD STE 204Falls Church, VA 22043-3544
Mailing Address2755 Hartland Rd Ste 204Falls Church, VA 22043-3544 · (703) 884-2399
Fax(703) 884-2399
Organization SubpartNo
Authorized OfficialVineet MehanDirector · (703) 544-8971
Enumeration DateMay 30, 2017
NPI 1215465646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2755 HARTLAND RD STE 204, Falls Church, VA 22043

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2304794

Dominion Plastic Surgery · Falls Church, VA
Active · expires May 19, 2028
CLIA Number49D2304794
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorVineet Mehan
Laboratory Phone(703) 544-8971
Laboratory LocationDominion Plastic Surgery2755 Hartland Road, Suite 300, Falls Church, VA 22043
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
2755 HARTLAND RD STE 204
FALLS CHURCH, VA 22043
Surgery (Plastic and Reconstructive Surgery)
2755 HARTLAND RD STE 204
FALLS CHURCH, VA 22043
Occupational Therapist (Hand)
2755 HARTLAND RD STE 204
FALLS CHURCH, VA 22043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominion Plastic Surgery LLC's NPI number?

The NPI number for Dominion Plastic Surgery LLC is 1215465646. It was assigned to this organization in the NPPES registry on May 30, 2017.

Where is Dominion Plastic Surgery LLC located?

Dominion Plastic Surgery LLC is located at 2755 Hartland Rd Ste 204, Falls Church, VA 22043. The listed phone number is (703) 884-2399.

What is Dominion Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Dominion Plastic Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2304794) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dominion Plastic Surgery LLC was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.