Active NPI
William Joseph Nanna, DDS
- Dentist
- Sterling, VA
National Provider Identifier
1275717324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- VA4272
- Practice address
- 107 E Holly Ave
5
Sterling, VA 20164 - Phone
- (703) 430-6655
- Fax
- (703) 430-6684
- NPI assigned
- Dec 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | VA4272 | VA | Primary |
Addresses
Primary practice location
107 E Holly Ave
5
Sterling, VA 20164
Mailing address
107 E Holly Ave
5
Sterling, VA 20164
Phone (703) 430-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA4272 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1275717324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E HOLLY AVE",
"address_2": "5",
"city": "STERLING",
"state": "VA",
"postal_code": "20164",
"telephone_number": "703-430-6655",
"fax_number": "703-430-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E HOLLY AVE",
"address_2": "5",
"city": "STERLING",
"state": "VA",
"postal_code": "20164",
"telephone_number": "703-430-6655",
"fax_number": "703-430-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANNA",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "VA4272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.