Individual provider Active NPI

Caitlin Forgetta, DMD

  • Dentist
  • Gainesville, VA
National Provider Identifier
1033635743
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401416235 Issued in VA
Practice address
14535 John Marshall Hwy Ste 209
Gainesville, VA 20155-4025
Phone
(703) 753-2252
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101467 CA
Dentist 122300000X 0401416235 VA Primary

Addresses

Primary practice location

14535 John Marshall Hwy Ste 209
Gainesville, VA 20155-4025

Mailing address

2833 11TH St N
Arlington, VA 22201-2889
Phone (516) 509-3314

Other practice location 1

2026 N Imperial Ave
El Centro, CA 92243-1607
Phone (760) 394-3082

Other names 1

  • Caitlin Massey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101467CAMDDentist
0401416235VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Dental Partners, PC Dentist CurrentSince Jul 21, 2024 Accepting new patients
Greenhill Family Dental Care LLC PastSince Jul 25, 2019 Accepting new patients

Locations

14535 John Marshall Hwy
Ste 209
Gainesville, VA 20155
Phone (703) 753-2252

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1033635743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 11TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012889",
            "telephone_number": "516-509-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 209",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554025",
            "telephone_number": "703-753-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 N Imperial Ave",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922431607",
            "country_code": "US",
            "telephone_number": "760-394-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORGETTA",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101467",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MASSEY",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; 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.