Jennifer Jean Novak, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

0401415601 Issued in VA

Practice address

8350 Richmond Hwy Ste 233
Alexandria, VA 22309-2344

Phone

(703) 704-6181

NPI assigned

Jul 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1134571086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11644 SANDAL WOOD LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123000",
            "telephone_number": "570-713-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 233",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092344",
            "telephone_number": "703-704-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040917",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "VA",
            "license": "0401415601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Psychotherapy and Assessment
• Nova Sports and Spine Physical Therapy
• Nova Surgery LLC
• Novacare Mobility LLC
• Novacure Consultants, PC
• Novicare Orthodontics PLLC
• Anne K Nowak, MD
• Barbara Nowak, FNP-C
• Gerald J Nowak, DO
• Morgan Louise Nowak, P.A.

• Public Health Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Public Health Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.