NPIMap

Organization Active NPI

Bawa PLLC

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1063621886
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50846 Issued in CA
Legal business name
BAWA PLLC
Practice address
8567 Sudley Rd Ste a
Manassas, VA 20110-3865
Phone
(571) 344-3397
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Anoop S Bawa, DMDNPI 1477767994
Title
Dentist
Phone
(571) 344-3397

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0401412382 VA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0401412401 VA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 46686 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 50846 CA Primary

Addresses

Primary practice location

8567 Sudley Rd Ste a
Manassas, VA 20110-3865

Mailing address

8567 Sudley Rd Ste a
Manassas, VA 20110-3865
Phone (571) 344-3397

Other names 1

  • First dental care Former legal business name

National Provider Directory

National Provider Directory

Locations

8567 Sudley Rd
Ste A
Manassas, VA 20110
Phone (571) 344-3397

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1063621886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8567 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103865",
            "telephone_number": "571-344-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8567 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103865",
            "telephone_number": "571-344-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAWA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BAWA",
        "authorized_official_first_name": "ANOOP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "571-344-3397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412382",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412401",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46686",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First dental care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.