Individual provider Active NPI

Lara Saleh, DDS

  • Pediatric Dentistry
  • Falls Church, VA
National Provider Identifier
1144560665
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
04401414316 Issued in VA
Practice address
105 E Annandale Rd Ste 215
Falls Church, VA 22046-4422
Phone
(703) 677-8775
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020864 MI
Pediatric Dentistry 1223P0221X 04401414316 VA Primary

Addresses

Primary practice location

105 E Annandale Rd Ste 215
Falls Church, VA 22046-4422

Mailing address

105 E Annandale Rd Ste 215
Falls Church, VA 22046-4422
Phone (734) 764-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901020864MIMDGeneral Practice Dentistry
04401414316VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Toothfairy PC Pediatric Dentistry CurrentSince Jan 29, 2023 Accepting new patients

Locations

105 E Annandale Rd
Ste 215
Falls Church, VA 22046
Phone (703) 677-8775

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1144560665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E ANNANDALE RD STE 215",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464422",
            "telephone_number": "734-764-1523",
            "fax_number": "734-763-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ANNANDALE RD STE 215",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464422",
            "telephone_number": "703-677-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "LARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020864",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "04401414316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.