Organization Active NPI

Sterling Family Dental

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1043678337
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414653 Issued in VA
Legal business name
STERLING FAMILY DENTAL
Practice address
107 E Holly Ave
9
Sterling, VA 20164-5405
Phone
(703) 430-2400
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Jason Nikkhah, D.M.D.
Title
Dentist
Phone
(703) 430-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401414653 VA Primary

Addresses

Primary practice location

107 E Holly Ave
9
Sterling, VA 20164-5405

Mailing address

107 E Holly Ave
9
Sterling, VA 20164-5405
Phone (703) 430-2400

National Provider Directory

National Provider Directory

Locations

107 E Holly Ave
Ste 9
Sterling, VA 20164
Phone (703) 430-2400

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1043678337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E HOLLY AVE",
            "address_2": "9",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645405",
            "telephone_number": "703-430-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E HOLLY AVE",
            "address_2": "9",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645405",
            "telephone_number": "703-430-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "NIKKHAH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-430-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.