NPIMap

Organization Active NPI

Luis Loza DDS, PC.

  • Dentist
  • Manassas, VA
National Provider Identifier
1194877035
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008767 Issued in VA
Legal business name
LUIS LOZA DDS, PC.
Practice address
7806 Sudley Rd
Suite 210
Manassas, VA 20109-2859
Phone
(703) 331-1313
Fax
(703) 369-2622
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Luis Loza, DDS
Title
Dentist
Phone
(703) 369-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401008767 VA Primary

Addresses

Primary practice location

7806 Sudley Rd
Suite 210
Manassas, VA 20109-2859

Mailing address

7806 Sudley Rd
Suite 210
Manassas, VA 20109-2859
Phone (703) 331-1313

Other identifiers 2

IdentifierTypeStateIssuer
841629676OtherVATAX IDENTIFICATION
542034392OtherVATAX IDENTIFICATION

Other names 1

  • Ahmadyar DDS & Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

7806 Sudley Rd
Ste 210
Manassas, VA 20109
Phone (703) 331-1313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1194877035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 SUDLEY RD",
            "address_2": "SUITE 210",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092859",
            "telephone_number": "703-331-1313",
            "fax_number": "703-369-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 SUDLEY RD",
            "address_2": "SUITE 210",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092859",
            "telephone_number": "703-331-1313",
            "fax_number": "703-369-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS LOZA DDS, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "LOZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-369-2273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "841629676",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "542034392",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahmadyar DDS & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 17, 2022; 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.