Organization Active NPI

Virginia Smiles PLLC

Doing business as Virginia Smiles Dental Care

  • General Practice Dentistry
  • Ashburn, VA
National Provider Identifier
1013342161
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413931 Issued in VA
Legal business name
VIRGINIA SMILES PLLC
Doing business as
Virginia Smiles Dental Care
Practice address
21001 Sycolin Rd Ste 100
Ashburn, VA 20147-4074
Phone
(571) 291-9699
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wasim Qureshi, DDSNPI 1326393117
Title
President
Phone
(571) 291-9699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401413931 VA Primary

Addresses

Primary practice location

21001 Sycolin Rd Ste 100
Ashburn, VA 20147-4074

Mailing address

21001 Sycolin Rd Ste 100
Ashburn, VA 20147-4074
Phone (571) 291-9699

Other identifiers 1

IdentifierTypeStateIssuer
20131411OtherVALOUDOUN COUNTY BUSINESS TAX A/C NUMBER

Other names 1

  • Virginia Smiles Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1013342161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474074",
            "telephone_number": "571-291-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474074",
            "telephone_number": "571-291-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-291-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUDOUN COUNTY BUSINESS TAX  A/C NUMBER",
            "identifier": "20131411",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.