Organization Active NPI

Nova Orofacial Pain, TMD & Dental Sleep Medicine

  • Orofacial Pain Dentistry
  • Burke, VA
National Provider Identifier
1124695747
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
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

Updated by the provider on Mar 19, 2024

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)CodeLicenseStatePrimary
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.