Organization Active NPI

Manassas Dental Care LLC

Doing business as Manassas Dental Care

  • Dental Clinic/Center
  • Manassas, VA
National Provider Identifier
1073027116
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MANASSAS DENTAL CARE LLC
Doing business as
Manassas Dental Care
Practice address
8707 Digges Rd
Manassas, VA 20110-4403
Phone
(571) 719-7272
NPI assigned
Nov 28, 2017
Last updated
Nov 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Hassanoor Abdirahman
Title
Manager
Phone
(571) 719-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

8707 Digges Rd
Manassas, VA 20110-4403

Mailing address

8707 Digges Rd
Manassas, VA 20110-4403

Other names 1

  • Manassas Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1073027116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "571-719-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "ABDIRAHMAN",
        "authorized_official_first_name": "HASSANOOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-719-7272"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manassas Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2017; 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.