Ismile of Manassas PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ISMILE OF MANASSAS PLLC

Practice address

10695 Sudley Manor Dr Ste 102
Manassas, VA 20109-2884

Phone

(703) 369-2200

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By 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

Dr. Rabia Rafiq

Title

Owner

Phone

(434) 409-3893

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Marie Mihyon Oh, DMD

  • Dentist
  • Ashburn, VA
  • NPI 1326881152
  NPD (past)
• Maha Siddiqi, DDS

  • Dentist
  • Herndon, VA
  • NPI 1033780267
  NPD (past)

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1265902407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 PLAZA AMERICA DR STE 140",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904753",
            "telephone_number": "434-409-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10695 SUDLEY MANOR DR STE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092884",
            "telephone_number": "703-369-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE OF MANASSAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "RABIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-409-3893",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Medicine & Wellness Inc
• Iqgenetix LLC
• Janelle Tatiana Irizarry, APRN, AGNP
• Sharla Irons
• Gilbert Raymond Irwin, M.D.P.C.
• Salihah Israel
• Lisa Knierim Ivanov, CCC/SLP
• Amitis Izadi Lowery
• Adaku Lilian Izunwanne
• J Nelson MD PC

• Dental Clinic/Center in Manassas, VA
• Providers in Manassas, 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 Nov 30, 2018; 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.