Bruce S Nouri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008321 Issued in VA

Practice address

46175 Westlake Dr Ste 220
Sterling, VA 20165-5884

Phone

(703) 404-9111

Fax

(703) 404-4181

NPI assigned

Oct 4, 2006

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aghaee & Nouri, DDS, PC

  • General Practice Dentistry
  • Sterling, VA
  • NPI 1952491474
  NPD (past)
• Praveena Petluri DMD PLLC

  • Dental Clinic/Center
  • Sterling, VA
  • NPI 1043862022
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1255426367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WELWYN WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502744",
            "telephone_number": "301-251-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR STE 220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655884",
            "telephone_number": "703-404-9111",
            "fax_number": "703-404-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURI",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Imaging, LLC
• Northern Virginia Imaging, LLC
• Northern Virginia Vision Center, Inc.
• Northland Hearing Center Inc
• Northland Hearing Center, Inc.
• Nova Addiction Center
• Nova Arthritis and Rheumatology Specialists LLC
• Nova IV Therapy, LLC
• Nova Perio Specialists
• Nova Psychiatric Services PC

• General Practice Dentistry in Sterling, VA
• Providers in Sterling, 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 Nov 25, 2008; 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.