Organization Active NPI

Ur Smile Dental

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1043895808
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UR SMILE DENTAL
Practice address
201 Elden St Ste 102
Herndon, VA 20170-4812
Phone
(571) 877-6453
Fax
(571) 466-2783
NPI assigned
Mar 13, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Dr. Manpreet Kaur
Title
President
Phone
(571) 877-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

201 Elden St Ste 102
Herndon, VA 20170-4812

Mailing address

201 Elden St Ste 102
Herndon, VA 20170-4812
Phone (571) 877-6453

National Provider Directory

National Provider Directory

Locations

102 Elden St
Ste 102
Herndon, VA 20170

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1043895808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ELDEN ST STE 102",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704812",
            "telephone_number": "571-877-6453",
            "fax_number": "571-466-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ELDEN ST STE 102",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704812",
            "telephone_number": "571-877-6453",
            "fax_number": "571-466-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-877-6453",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.