NPIMap

Organization Active NPI

American Dental Care

  • Dentist
  • Falls Church, VA
National Provider Identifier
1093267239
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410695 Issued in VA
Legal business name
AMERICAN DENTAL CARE
Practice address
105 N Virginia Ave Ste 103
Falls Church, VA 22046-3323
Phone
(703) 533-7285
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Aicha Lyazidi
Title
Dentist
Phone
(703) 533-7285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401410695 VA Primary

Addresses

Primary practice location

105 N Virginia Ave Ste 103
Falls Church, VA 22046-3323

Mailing address

105 N Virginia Ave Ste 103
Falls Church, VA 22046-3323
Phone (703) 533-7285

Other identifiers 1

IdentifierTypeStateIssuer
1922189174MedicaidVA

National Provider Directory

National Provider Directory

Locations

105 N Virginia Ave
Ste 103
Falls Church, VA 22046
Phone (703) 533-1993

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": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1093267239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N VIRGINIA AVE STE 103",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463323",
            "telephone_number": "703-533-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N VIRGINIA AVE STE 103",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463323",
            "telephone_number": "703-533-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "LYAZIDI",
        "authorized_official_first_name": "AICHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-533-7285"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922189174",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.