Sophia C Phass, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007124 Issued in VA

Practice address

5205 Leesbury Pike
Suite 101 Jack C Phass Jr DDS Inc
Falls Church, VA 22041-3802

Phone

(703) 824-0055

Fax

(703) 998-9859

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1194912790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 LEESBURY PIKE",
            "address_2": "SUITE 101 JACK C PHASS JR DDS INC",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413802",
            "telephone_number": "703-824-0055",
            "fax_number": "703-998-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 LEESBURY PIKE",
            "address_2": "SUITE 101 JACK C PHASS JR DDS INC",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413802",
            "telephone_number": "703-824-0055",
            "fax_number": "703-998-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHASS",
        "first_name": "SOPHIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phamfirst Clinic (Prohealth Medical Center)
• Dianna Phan, D.C.
• Elizabeth Vu Phan, D.O.
• Mimi Hoang Phan, FNP
• Dean J Phass, DDS
• Aruna Phayal, MD
• Emma Phillips, MSPAS, PA-C
• Laura Phillips, LCSW
• Neil Thomas Phippen, M.D.
• Van Ngoc Pho

• General Practice Dentistry in Falls Church, VA
• Providers in Falls Church, VA by specialty
• General Practice Dentistry in Virginia

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