Organization Active NPI

Gdat Shukrana PLLC

Doing business as Devena Dental

  • Dental Clinic/Center
  • Manassas, VA
National Provider Identifier
1154114296
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GDAT SHUKRANA PLLC
Doing business as
Devena Dental
Practice address
10563 Crestwood Dr
Manassas, VA 20109-3406
Phone
(703) 899-8523
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Dr. Divispreet Kaur Ludher, DDSNPI 1871078139
Title
DDS Owner
Phone
(703) 899-8523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10563 Crestwood Dr
Manassas, VA 20109-3406

Mailing address

7658 Clifton Rd
Fairfax Station, VA 22039-2030
Phone (703) 582-9611

Other names 1

  • Devena Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10563 Crestwood Dr
Manassas, VA 20109
Phone (703) 361-8411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1154114296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7658 CLIFTON RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392030",
            "telephone_number": "703-582-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10563 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093406",
            "telephone_number": "703-899-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDAT SHUKRANA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "LUDHER",
        "authorized_official_first_name": "DIVISPREET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "DDS OWNER",
        "authorized_official_telephone_number": "703-899-8523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devena Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.