NPIMap

Organization Active NPI

Reston Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Reston, VA
National Provider Identifier
1194911040
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410727 Issued in VA
Legal business name
RESTON FAMILY & COSMETIC DENTISTRY
Practice address
1984 Isaac Newton SQ W Ste 100
Reston, VA 20190-5039
Phone
(703) 437-5555
Fax
(703) 437-8584
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Monica Neshat, D.D.S.NPI 1235167222
Title
Owner/Doctor
Phone
(703) 437-5555

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410727 VA Primary

Addresses

Primary practice location

1984 Isaac Newton SQ W Ste 100
Reston, VA 20190-5039

Mailing address

1984 Isaac Newton SQ W Ste 100
Reston, VA 20190-5039
Phone (703) 437-5555

National Provider Directory

National Provider Directory

Locations

1984 Isaac Newton Sq W
Ste 100
Reston, VA 20190
Phone (703) 437-5555

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1194911040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 ISAAC NEWTON SQ W STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905039",
            "telephone_number": "703-437-5555",
            "fax_number": "703-437-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 ISAAC NEWTON SQ W STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905039",
            "telephone_number": "703-437-5555",
            "fax_number": "703-437-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "NESHAT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "703-437-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.