NPIMap

Organization Active NPI

Ayesha Sultan DDS PC

  • Preferred Provider Organization
  • Manassas, VA
National Provider Identifier
1063799765
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0401412555 Issued in VA
Legal business name
AYESHA SULTAN DDS PC
Practice address
6312 Hoadly Rd
Manassas, VA 20112-3422
Phone
(703) 220-9984
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Ayesha Sultan, DDSNPI 1093090516
Title
Dentist
Phone
(703) 220-9984

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0401412555 VA Primary

Addresses

Primary practice location

6312 Hoadly Rd
Manassas, VA 20112-3422

Mailing address

14260 Holly Glen CT
Manassas, VA 20112-7011
Phone (703) 220-9984

National Provider Directory

National Provider Directory

Locations

6312 Hoadly Rd
Manassas, VA 20112
Phone (703) 220-9984

Practitioners & affiliated clinicians

Practitioners 1

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1063799765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14260 HOLLY GLEN CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127011",
            "telephone_number": "703-220-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 HOADLY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123422",
            "telephone_number": "703-220-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYESHA SULTAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-220-9984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401412555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 8, 2011; 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.