Organization Active NPI

DJ Practices PLLC

Doing business as Riverside Smiles

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1104652775
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DJ PRACTICES PLLC
Doing business as
Riverside Smiles
Practice address
19415 Deerfield Ave Ste 212
Leesburg, VA 20176-8471
Phone
(301) 744-7031
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Heta S Jasani
Title
Owner
Phone
(301) 744-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

19415 Deerfield Ave Ste 212
Leesburg, VA 20176-8471

Mailing address

19415 Deerfield Ave Ste 212
Leesburg, VA 20176-8471

Other names 1

  • Riverside Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

19415 Deerfield Ave
Ste 212
Leesburg, VA 20176
Phone (301) 744-7031

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1104652775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 212",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 212",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768471",
            "telephone_number": "301-744-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ PRACTICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "JASANI",
        "authorized_official_first_name": "HETA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-744-7031"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2024; 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.