NPIMap

Organization Active NPI

American Advanced Dental Associates

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1144483199
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401410407 Issued in VA
Legal business name
AMERICAN ADVANCED DENTAL ASSOCIATES
Practice address
3930 Pender Dr
Suite 110
Fairfax, VA 22030-0985
Phone
(703) 359-9080
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Vladimir Soyfer, DMD PHD
Title
Manager
Phone
(703) 359-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401410407 VA Primary

Addresses

Primary practice location

3930 Pender Dr
Suite 110
Fairfax, VA 22030-0985

Mailing address

3930 Pender Dr
Suite110
Fairfax, VA 22030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1144483199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-359-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADVANCED DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SOYFER",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-359-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.