NPIMap

Organization Active NPI

First Impression Dental PLLC

  • General Practice Dentistry
  • Ashburn, VA
National Provider Identifier
1184069247
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412858 Issued in VA
Legal business name
FIRST IMPRESSION DENTAL PLLC
Practice address
43810 Central Station Dr Ste 100
Ashburn, VA 20147-7210
Phone
(571) 465-2114
Fax
(571) 223-0015
NPI assigned
May 2, 2013
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Carter Reeves, DDSNPI 1356662951
Title
Owner
Phone
(571) 465-2114

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401412858 VA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

43810 Central Station Dr Ste 100
Ashburn, VA 20147-7210

Mailing address

43810 Central Station Dr Ste 100
Ashburn, VA 20147-7210
Phone (571) 465-2114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1184069247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43810 CENTRAL STATION DR STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477210",
            "telephone_number": "571-465-2114",
            "fax_number": "571-223-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43810 CENTRAL STATION DR STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477210",
            "telephone_number": "571-465-2114",
            "fax_number": "571-223-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSION DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-465-2114",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412858",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; 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.