Nova Perio Specialists

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NOVA PERIO SPECIALISTS

Practice address

21165 Whitfield PL Ste 107
Sterling, VA 20165-7276

Phone

(703) 444-4377

Fax

(703) 444-7383

NPI assigned

Jul 8, 2021

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Sparks

Title

Manager

Phone

(703) 444-4377

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Locations

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.

• Justin Hardison, D.M.D, M.S.D

  • Periodontics
  • Gainesville, VA
  • NPI 1114232527
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1205407467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21165 WHITFIELD PL STE 107",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657276",
            "telephone_number": "703-444-4377",
            "fax_number": "703-444-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21165 WHITFIELD PL STE 107",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657276",
            "telephone_number": "703-444-4377",
            "fax_number": "703-444-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Cardinal Park Dr SE Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201754448",
            "country_code": "US",
            "telephone_number": "571-291-2596",
            "fax_number": "571-510-3957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24585 Stone Carver Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Aldie",
            "state": "VA",
            "postal_code": "201053253",
            "country_code": "US",
            "telephone_number": "703-444-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA PERIO SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-444-4377"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1710362629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1306299185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1114232527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720123292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1689223836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598038192",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@perioperio.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted email",
            "address_1": "21165 Whitfield Pl Ste 107",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201657276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce S Nouri, DDS
• Nova Addiction Center
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• Nova Innovative Gastroenterology, PLCC
• Nova IV Therapy, LLC (NOVA IV Therapy)
• Nova Psychiatric Services PC
• Nova Spine Center LLC (Nova Spine Center)
• Monica Novak, PA
• Novena Healthcare LLC
• Hellen Nuwagaba

• Dental Clinic/Center in Sterling, VA
• Providers in Sterling, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.