Heidi Ostreng Vatanka, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401413470 Issued in VA

Practice address

8505 Arlington Blvd
Ste 370
Fairfax, VA 22031-4621

Phone

(703) 849-1415

NPI assigned

Mar 11, 2012

Last updated

Mar 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331424000000",
    "number": "1043585995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MOSBY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223051828",
            "telephone_number": "571-527-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "STE 370",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314621",
            "telephone_number": "703-849-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATANKA",
        "first_name": "HEIDI",
        "middle_name": "OSTRENG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-11",
        "last_updated": "2012-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular Laboratory of Fairfax, LLC
• Vascular Surgical Associates PC
• Alexa Vasiliadis, DO
• Paola Andrea Vasquez, DPT
• Vastor Medirides, LLC
• Dominique S Vaughn, DPT
• Emily Vayo
• Ashley Vazana
• Erica Vazquez
• Shaquilla Vazquez, DNP CRNP FNP-BC FNPC

• Pediatric Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2012; 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.