Specialist Care Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401415163 Issued in VA

Legal business name

SPECIALIST CARE ENDODONTICS LLC

Practice address

1964 Gallows Rd Ste 220
Vienna, VA 22182-3814

Phone

(703) 650-9990

Fax

(703) 650-9991

NPI assigned

Jun 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Arundhati Misra Sauparn, BDS, ENDODONTIST

Title

Managing Member

Phone

(646) 492-0226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529798400000",
    "number": "1134614092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 GALLOWS RD STE 220",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823814",
            "telephone_number": "703-650-9990",
            "fax_number": "703-650-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 GALLOWS RD STE 220",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823814",
            "telephone_number": "703-650-9990",
            "fax_number": "703-650-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST CARE ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A",
        "authorized_official_last_name": "SAUPARN",
        "authorized_official_first_name": "ARUNDHATI",
        "authorized_official_middle_name": "MISRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-492-0226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, ENDODONTIST"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401415163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Vienna, VA
• Providers in Vienna, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; 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.