NPIMap

Organization Active NPI

Greenway Smiles Family Dentistry

  • General Practice Dentistry
  • Ashburn, VA
National Provider Identifier
1265840938
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412993 Issued in VA
Legal business name
GREENWAY SMILES FAMILY DENTISTRY
Practice address
43490 Yukon Dr
Ste. 114
Ashburn, VA 20147-6990
Phone
(571) 222-4243
Fax
(571) 248-7400
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Sreepreethi Gnanasundaram, D.D.S.
Title
Dentist
Phone
(571) 222-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401412993 VA Primary

Addresses

Primary practice location

43490 Yukon Dr
Ste. 114
Ashburn, VA 20147-6990

Mailing address

43490 Yukon Dr
Ste. 114
Ashburn, VA 20147-6990
Phone (571) 222-4243

National Provider Directory

National Provider Directory

Locations

43490 Yukon Dr
Ste 114
Ashburn, VA 20147
Phone (571) 222-4243

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1265840938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR",
            "address_2": "STE. 114",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476990",
            "telephone_number": "571-222-4243",
            "fax_number": "571-248-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR",
            "address_2": "STE. 114",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476990",
            "telephone_number": "571-222-4243",
            "fax_number": "571-248-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "GNANASUNDARAM",
        "authorized_official_first_name": "SREEPREETHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "571-222-4243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.