Organization Active NPI

Ashburn Childrens Dentistry

  • Pediatric Dentistry
  • Ashburn, VA
National Provider Identifier
1114075843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ASHBURN CHILDRENS DENTISTRY
Practice address
44025 Pipeline PLZ
Unit 1-225
Ashburn, VA 20147-5881
Phone
(703) 723-8440
Fax
(703) 723-8443
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynda Dean-DuruNPI 1356498356
Title
Owner Sole Proprietor
Phone
(703) 786-5199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

44025 Pipeline PLZ
Unit 1-225
Ashburn, VA 20147-5881

Mailing address

44025 Pipeline PLZ
Unit 1-225
Ashburn, VA 20147-5881
Phone (703) 723-8440

National Provider Directory

National Provider Directory

Locations

44025 Pipeline Plz
Unit 1225
Ashburn, VA 20147
Phone (703) 723-8440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114075843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44025 PIPELINE PLZ",
            "address_2": "UNIT 1-225",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475881",
            "telephone_number": "703-723-8440",
            "fax_number": "703-723-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44025 PIPELINE PLZ",
            "address_2": "UNIT 1-225",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475881",
            "telephone_number": "703-723-8440",
            "fax_number": "703-723-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBURN CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN-DURU",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER  SOLE PROPRIETOR",
        "authorized_official_telephone_number": "703-786-5199"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.