Active NPI
Nova Orofacial Pain, TMD & Dental Sleep Medicine
- Orofacial Pain Dentistry
- Burke, VA
National Provider Identifier
1124695747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- Legal business name
- NOVA OROFACIAL PAIN, TMD & DENTAL SLEEP MEDICINE
- Practice address
- 5222 Rolling Rd
Burke, VA 22015-1654 - Phone
- (703) 389-0111
- Fax
- (703) 389-7755
- NPI assigned
- Jun 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Caroline Assad Gabriel
- Title
- Owner-Provider
- Phone
- (703) 389-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | Primary |
Addresses
Primary practice location
5222 Rolling Rd
Burke, VA 22015-1654
Mailing address
6015 Wilmington Dr
Burke, VA 22015-3823
National Provider Directory
National Provider DirectoryLocations
8987 Hersand Dr
Burke, VA 22015
Phone (540) 409-6982
5222 Rolling Rd
Burke, VA 22015
Phone (703) 389-0111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1124695747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 WILMINGTON DR",
"city": "BURKE",
"state": "VA",
"postal_code": "220153823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 ROLLING RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220151654",
"telephone_number": "703-389-0111",
"fax_number": "703-389-7755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA OROFACIAL PAIN, TMD & DENTAL SLEEP MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "ASSAD",
"authorized_official_title_or_position": "OWNER-PROVIDER",
"authorized_official_telephone_number": "703-389-0111",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223X2210X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.