Individual provider Active NPI

Vani Takiar, DMD, MA

  • Pediatric Dentistry
  • Leesburg, VA
National Provider Identifier
1083055404
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401414339 Issued in VA
Practice address
606 S King St Ste 200
Leesburg, VA 20175-3907
Phone
(571) 799-0559
Fax
(571) 799-0560
NPI assigned
Jul 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401414339 VA Primary

Addresses

Primary practice location

606 S King St Ste 200
Leesburg, VA 20175-3907

Mailing address

606 S King St Ste 200
Leesburg, VA 20175-3907
Phone (571) 799-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0401414339VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tooth Clues Pediatric Dentistry CurrentSince Jun 11, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

606 S King St
#200
Leesburg, VA 20175
Phone (571) 799-0559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1083055404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S KING ST STE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753907",
            "telephone_number": "571-799-0559",
            "fax_number": "571-799-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S KING ST STE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753907",
            "telephone_number": "571-799-0559",
            "fax_number": "571-799-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKIAR",
        "first_name": "VANI",
        "credential": "DMD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-14",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401414339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.